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Home My WebLink About305674 11/28/16 �o�c�gM - CITY OF CARMEL, INDIANA VENDOR: 371316 ONE CIVIC SQUARE SUR-TEC, INC. CHECK AMOUNT: $*****2,963.00* 9� =q CARMEL, INDIANA 46032 6840 SILVERHEEL STREET CHECK NUMBER: 305674 s,iTON�. SHAWNEE KS CHECK DATE: 11/28116 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 911 4355400 34054 E58794 2,963.00 CASPER CONNECT l VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) SUR-TEC, INC. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 6840 SILVERHEEL STREET IN SUM OF$ CITY OF CARMEL An invoice or bill to be property itemized must show:kind of service,where performed,dates service SHAWNEE, KS rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $2,963.00 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# HCDTF Terms Project#2016-911 and Task 2016-2 Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 34054 E58794 43-554.00 $2,963.00 1 hereby certify that the attached invoice(s),or 11/17/16 E58794 12 month tern for 3 connections $2,963.00 911 911 911 911 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 Friday, November 18,2016 Aaron Dietz Major 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 orinf• • S U R o@sur-tec.com 800.755.2088 BILL TO INVOICE Carmel, IN - PD #E58794 Aaron Dietz 3 Civic square PO #34054 Carmel, IN 46032 Nov 17th, 2016 Product Details Qty U/M Unit Price Subtotal Casper Connect,~ 3X 1 each $2,963.00 $2,963.00 12 Month term for 3 Connections to Casper Connect.Full terms and conditions may be downloaded at http://dl.sur-tee.com/casper Subtotal $2,963.00 Tax $0.00 Discount $0.00 Total $2,963.00 Paying by credit card? Call 800-755-2088 Supporting Documents (Download Links) Remittance SURTECW9Form http://cll.sur-tec.coi-n/SURTEC-W9 SUR TEC,Inc . • .•40 Silverheel Street CompanyCore D. http://cll.sur,�tec.com/companydata INDIANA RETAIL TAX EXEMPT Page 1 of 1 City ®� Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 34054 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 11/15/2016 371316 Casper Connect 3X SUR-TEC, INC. Hamilton/Boone Co. Drug Task _Force VENDOR 6840 SILVERHEEL STREET SHIP 3 Civic Square TO Carmel, IN 46032- SHAWNEE, KS PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 10230 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 911 Fund: 911 Law Enforcement Aid Fund Account, 43-554.00 1 Each 12 month term Casper Connect $2,963.00 $2,963.00 Sub Total $2,963.00 f Send Invoice To: Hamilton/Boone Co. Drug Task Force 'Quote#E68526 3 Civic Square � F Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT PAYMENT $2,963.00 SHIPPING INSTRUCTIONS 'Alp VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN 'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN 'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. 'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Aaron Dietz TITLE Major CONTROL NO. 34054 CLERK-TREASURER o • rSUR800.755.2088 BILL TO QUOTE Carmel, IN - PD #E68526 Aaron Dietz Nov 10th, 2016 3 Civic Square Carmel, IN 46032 Product Details Qty U/M Unit Price Subtotal Casper Connect,~ 3X 1 each $2,963.00 $2,963.00 12 Month term for 3 Connections to Casper Connect.Full terms and conditions may be downloaded at http://dI.sur-tec.com/casper Subtotal $2,963.00 Tax $0.00 Discount $0.00 Total $2,963.00 Supporting Documents (Download Links) Remittance SUR TEC W9 Form http://dI.sur-tec.cot-n/SURTEC-W9 SUR TEC,Inc. Sole Source htip://cll.sur-tec.coi-n/solesource 6840 Silverheel Street Core Company D. tec.corn/cornpanydata Shawnee,KS 66226