305105 11/14/16 CITY OF CARMEL, INDIANA VENDOR: 369344
ONE CIVIC SQUARE CHAMPION OPTICAL NETWORK ENGINa"K AMOUNT: $.'***3,194.00"
CARMEL, INDIANA 46032 PO Box 636640 CHECK NUMBER: 305105
CINCINNATI OH 45263-6640 CHECK DATE: 11/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4463201 34236 901188 3,194.00 40 GB TRANCEIVERS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CHAMPION OPTICAL NETWORK ENGINEERIN
IN SUM OF$
PO BOX 636640 CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CINCINNATI, OH 45263-6640" rendered;by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
P
ayee
$3,194.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Information Systems Terms
Date Due:.
PO# ACCT# DATE INVOICE# DESCRIPTION
DEBT# INVOICE#: :. Fund#. AMOUNT Board Members DEPT# FUND (or note attached invoice(s)or bill(s)) AMOUNT: .
34236 901188 44-632.01 $3,194.00 I hereby certify that the attached invoice(s),or 10719/16 901188 $3,194.00
1202 101
1202 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, November 01;2016
—N
Terry Crockett
Director
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
CHAMPION Invoice
O - N • E 7M Invoice: 901188
Customer:CITY OF CARMEL
Account Number: H00014
Date: October 19, 2016
Remit To: CHAMPION OPTICAL NETWORK ENGINEERING LLC
Order:901188
PO BOX: 636640
Cincinnati,OH 45263-6640
(216)831-1800
Bili To Ship To
CITY OF CARMEL CITY OF CARMEL
ATTN: ACCOUNTS PAYABLE 3 CIVIC SQUARE
3 CIVIC SQUARE INFORMATION SYSTEMS
CARMEL, IN 46032 CARMEL, IN 46032
Tracking# Ship ToAttn: TERRY CROCKETT 317-571-2567
Purchase Order Ship Via FOB Order Date Sales rep Terms
34236 Customer Specified Cleveland, OH 10/18/2016 R2 Net 30 Days
Line# Product Quantity Description Unit Price Quantity Quantity Quantity Net
Ordered B/O Shipped Invoiced Amount
1 40GEQ-LR4-H3C 2 QSFP+40GBase-LR4 10km, H3C 1,597.00 0 2 2 $3,194.00
compatible
THANK YOU Sub-total $3,194.00
Seller represents that with respect to the production of the articles and/or the performance of the services covered by
this invoice,it has fully complied with the provisions of the Fair Labor Standards Act of 1938,as amended.
All returns must have written authorization. Invoice Total $3,1.94.00
All invoices not paid within 30 days are subject to 1.5%per month finance charge. Balance Due $3,194.00
C H A M P ! D N ***Packing Slip*** 23645 Mercantile Rd. Suite
13 , N - G C TM Beachwood, OH 44122
www.championone.net (216)831-1800 FAX(216)831-2541
S CITY OF CARMEL B CITY OF CARMEL
H 3 CIVIC SQUARE ATTN: ACCOUNTS PAYABLE
P INFORMATION SYSTEMS L 3 CIVIC SQUARE
T CARMEL, IN 46032 T CARMEL, IN 46032
0 0
Attn: TERRY CROCKETT 317-571-2567
From:
Champion Optical Network Engineering Customer Number H00014
23645 Mercantile Rd, Suite A Customer CITY OF CARMEL
Beachwood, OH 44122 Order 900343
(216) 831-1800 Date 9/22/2016
Purchase Order: 34225 FOB: Cleveland, OH
Buyer: TERRY CROCKETT Terms: Net 30 Days
Sales rep: SR Tax W 0.00
Reference: Due Date: 9/23/2016
Ship Via: FedEx 5
Line Product Description Qty Qty Qty Qty
Item I I I 10rdered Outstanding Shipping B/O
001 10GESPDC-05-H3C SFP+DAC 10GBASE-CR 5m, H3C 4 4 4 Complete
compatible
THANK YOU
*Claims for shortages or defective material must be made within 5 days of receipt of this shipment.
* Prior appro rust be obtained before returning any material.
Ship Vii a r�1 it Packages t Total Weight Shipping Charges Ship Date �2
No Merchandise will be accepted for return without prior authorization.
We are not responsible for damage to merchandise in transit.No credit will be issued for material returned without our written consent.Seller represents that in the production or
the performance of the services covered by this invoice it has complied with the Fair Labor Standards Act of 1938,as amended,and with the regulations and orders of the
United States Department of Labor.
Certain products sold by Champion ONE and other related technology and documentation are subject to export control laws,regulations and orders of the United States and the
export or import control laws and regulations of other countries. Customer will not directly or indirectly export or divert any products and other related technology and
documentation to any third party or country where such export or transmission is restricted or prohibited. Customer agrees It Is responsible to obtain any license to export,
re-export,or import as may be required.