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Home My WebLink About305606 11/28/16 y Coq. '1�� \ff CITY OF CARMEL, INDIANA VENDOR: 355158 �'G %.. .; •i• ONE CIVIC SQUARE LAFAYETTE INSTRUMENT CHECK AMOUNT: $**`**`*101.00* s. _� CARMEL, INDIANA 46032 PO BOX 5279 CHECK NUMBER: 305606 9�?'r'oii'E° LAFAYETTE IN 47903 CHECK DATE: 11/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4342100 19083 10.00 POSTAGE 1110 4350000 34381 19083 91.00 POLYGRAPH MACHINE REP VOUCHER NO. WARRANT NO. ALLOWED LAFAYETTE INSTRUMENT PO BOX 5279 IN SUM OF$ LAFAYETTE, IN 47903 $10.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police PO# ACCT# DEPT# INVOICE# Fund# AMOUNT Bc 19083 43-421.00 $10.00 1 hereby certify that the attached it 1110 101 bill(s)is(are)true and correct and materials or services itemized thea which charge is made were ordere received except Monday, November 21, Tim Green Chief of Police Cost distribution ledger classification if claim paid motor vehicle highway fund. VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) LAFAYETTE INSTRUMENT ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 5279 INSUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service LAFAYETTE, IN 47903 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $91.00 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police Terms Date Due 'PO '=-- ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 4381—~- tY 0000019083 43-500.00 $91.00 I hereby certify that the attached invoice(s),or 11/11/16 0000019083 polygraph machine repair $91.00 1110 101 1110 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday, November 21,2016 Tim Green Chief of Police I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer • Invoice No: 0000019083 y La a ette Customer: 005634, Sales Order: 018280 Instrument Lafayette Instrument Company, lnc . 3700 Sagamore Parkway North Phone:(765)423-1505 .:Federal ID:35-1950005 Lafayette,IN 47904 USA Fax:(765)423-4111. accounting@lafayetteinstrument.com www.lafayetteinstrument.com. Sold-to: ID:0002 ID:0002 Carmel.Police Department SHIPPED TO,ADDRESS: _. 3 CIVIC Square Carmel Police:Department _ 3 Civic Square Attn:-AccountsPayable Attn: Blaine Mallaber Carmel IN 46032 Car United,States mel IN aso32 United States Sales Order Phone(317)571-2500 Phone_(317)571-2559 Order Date:10/12/2016 . Ship Date:11/11/2016 - customer PO Number Invoice Date Terms FOB Ship Via Salesperson -R-4313 PO#34381 11/11/2016 NET 30 OUR PLANT UPS TST Item Part/Rev I Description I Details Quantity Unit Price _. Discount Extended Price 000010 LX4006-REPAIR U/M EA 1.00000 . 91.00000 0.00 :91.00 LX4000 DAS.REPAIR :Packing List°No/Item No: 019801/000001 000020 SHIPPING : 1.00000 - 10.00000 0.010 10.00 Shipping/Freight Charge Total Item Price 91.00. 10/1$/2016(cts). . Shipping 10.00 Replace metal enclosure with plastic one.Replace O-Rings and Tubing.Test.for proper measurement and function Sales Tax Non Warranty Total Inv Price US$ 101-00 SN#348355 Some type of pneumo leak.internally.::: :. . Shipping charges,unless specifically noted above,will be.prepaid and added to your invoice. If any.of the information above is incorrect,please notify us immediately.' We sincerely appreciate your order. Best regards,: Lafayette Instrument Company LIC Original g PLEASE!NO RETURNS WITHOUT PRIOR AUTHORIZATION! REMIT TO:ADDRESS: LAFAYETTE INSTRUMENT CO.-ASSUMES NO RESPONSIBILITY P.O.BOX 5729 All invoices 30 da s past due FOR ANY-ITEM RETURNED WITHOUT PRIOR AUTHORIZATION. Y LAFAYETTE,IN 47903'. will be charged at the rate of TO INSURE PROPER CREDIT TO YOUR ACCOUNT ALL PAYMENTS MUST BE IN US$$ 1.5%interest.per month. --- -- --- - .. REMITTANCE COPY MUST ACCOMPANY_ CHECK. Page. 1. . Lafayette Shipping List 019801 R Customer No 005634 Instrument' Sales Order Shipper 37005agamoreParkway North Shofar has not Lafayette,IN 47904 beenconfirmed! Sold to : ID:0002 Ship to : ID:0002 Carmel Police Department Carmel Police Department 3 Civic Square 3 Civic Square Attn: Accounts Payable Attn: Blaine Mallaber Carmel IN 46032 Carmel IN 46032 United States United States 4 Ship Date Customer PO #of Weight 'Ship VIA Bill of Lading --F-:b B--- Boxes —Boxes 11/11/2016 R-4313 PO#34381 0 0.0000 UPS OUR PLANT Item Fac/Part/Rev/Description/Details Order Quantity Ship Quantity 000001 Default Sales Order 018280-00 Item 001 LX4000-REPAIR Rev 000 U/M EA 1.00000 LX4000 DAS REPAIR 1.00000 ------ ------------------------------------------------------- ------------- ----------------------- - 10/18/2016(cts) Replace metal enclosure with plastic one. Replace O-Rings and Tubing.Test for proper measurement and function —Non Warranty --- - - -- -- -— - — -- - - — -- —. SN#348355 Some type of pneumo leak internally. Shipping charges,unless specifically noted above,will be prepaid and added to your invoice. If any of the information above is incorrect,please notify us immediately. We sincerely appreciate your order. Best regards, Lafayette Instrument Company Customer Page: 1