HomeMy WebLinkAbout305867 12/12/16 VENDOR: 307600 CHECK AMOUNT: $
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CITY OF CARMEL, INDIANA TREASURER OF STATE CHECK NUMBER: 305867
ONE CIVIC SQUARE INDIANA STATE BUDGET AGENCY
a CARMEL, INDIANA 46032 200 WEST WASHINGTON ROOM 212 CHECK DATE: 12/1211
INDIANAPOLIS IN 46204 DESCRIPTION
M"ON INVOICE NUMBER AMOUNT BREATH TEST MAIN AGRE
DEPARTMENT ACCOUNT PO NUMBER 650.00
1110
4351501 34410 171SDT-0023
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Invoice
Indiana State Department of Toxicology
To: Carmel Police Department
3 Civic Square
Carmel, IN 46032
Invoice Number: 17ISDT-0023 Invoice Date: November 22, 2016
Item: 2017 Evidential Breath Test Instrument Maintenance Agreement
Pay this amount $650
You may pay online with a debit or credit card by going to: https:/Iwww.payingov.com/toxicOlOgy
if paying by check or money order, please make them payable to: Treasurer of State
Remit to: Indiana State Budget Agency
200 W.Washington Street, Rm 212
Indianapolis, IN 46204
Retain this portion for your records
----------------------------------------------------------------
Michael R.Pence
STATE OF INDIANA Governor
RECEIVED 0 2 a 2016
Indiana State Department of Toxicology Justus E.Littlejohn
Director
November 22, 2016
Chief Tim Green
Carmel Police Department
3 Civic Square
Carmel, IN 46032
Re: Evidential Breath Test Instrument Maintenance Agreement
Enclosed please find the following:
2017 Maintenance Agreement for the evidential breath test instrument at your facility
Invoice for annual maintenance fee for evidential breath test instrument
Please complete the Maintenance Agreement and return it by email to halbrownga isdt.in.gov or
by mail to the return address on this letterhead stationery.
You may pay your annual maintenance fee online with a debit or credit card by going to:
https://www.payingov.com/toxicology
If paying by check or money order,please make them payable to:
Treasurer of State
and remit payment of the invoice to:
Indiana State Budget Agency
200 W. Washington Street, Rm 212
Indianapolis,IN 46204
Best regards,
Haley A Brown
Breath Test&Justice Trax I-Results Coordinator
halbrown@isdt.in.gov
Work:317.921.5007
Website:www.in.gov/isdt
550 W. 16th Street, Suite A Indianapolis, IN 46202 (T) 317-921-5000 (F) 317-925-9430
Michael R.Pence
STATE OF INDIANA Governor
1P
Indiana State Department of Toxicology Justus E.Littlejohn
Director
2017 Evidentiary Breath Test Instrument Maintenance Agreement
The Indiana State Department of Toxicology(ISDT)and the Carmel Police Department agree as
follows:
1. As required by Title 260 of the Indiana Administrative Code, ISDT will inspect,maintain,and repair
the evidentiary breath test instrument located at:
3 Civic Square
Carmel,IN 46032
2. The Carmel Police Department will maintain a dedicated network connection for the instrument and
will notify ISDT by email to halbrown@isdt.in.gov if the agency's network has been updated or changed
in a way that would conflict with the current settings of the instrument's networking hardware device.
3. Carmel Police Department shall maintain a secure area for the instrument and allow access to the
location of the instrument for ISDT's instrument inspectors upon arrival.
4. The contact person at Carmel Police Department for administration of this Maintenance Agreement
is:
Name le
6?1-2�
Telephone number Email address
SO AGREED:
Indiana State Department of Toxicology Carmel Police De artment
By: By: /
Printed Name: Justus E. Littlejohn Printed Nam eze d
Title: Director Title:
Date: November 22, 2016 Date: /I
550 W. 16"' Street, Suite A Indianapolis, IN 46202 (T) 317-921-5000 (F) 317-925-9430