319923 12/21/2017 .Cqq
CITY OF CARMEL, INDIANA VENDOR: 354104
CHECK AMOUNT: $*******140.00*
,.� ® ii•' ONE CIVIC SQUARE DB INNOVATIONS
CARMEL, INDIANA 46032 103 WASHINGTON AVENUE CHECK NUMBER: 319923
?M,roN,Go; ENDICOTT NY 13760 CHECK DATE: 12/21117
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 6204 140.00 EQUIPMENT REPAIRS & M
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 354104 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
DB INNOVATIONS IN SUM OF$ CITY OF CARMEL
103 WASHINGTON AVENUE An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
ENDICOTT, NY 13760
Payee
$140.00
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
6204 43-500.00 $140.00 1 hereby certify that the attached invoice(s),or 12/19/17 6204 radar equipment certification $140.00
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
Wednesday, December 20,2017
Jim Barlow
Chief
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
dB innovations,llc Invoice
22 Washington Ave
Endicott,NY 13760 Date Invoice#
Phone:8G6.3409512 12/19/2017 6204
Bill To Ship To
Carmel Police Dept Carmel Clay Communications Center
3 Civic Square 31 First Ave NW
Attn:Teresa Anderson Cannel,IN 46032
Carmel,IN 46032
P.O. Number Terms Ship Via Due Date
RMA#171212 Net due in 30 days 12/19/2017 UPS 1/18/2018
Quantity Item Code Description U/M Price Each Amount
1 NIST-HRB NIST Certification of Vocar HR Base Unit Radar _ 100.00 100.00
Certification Equipment
1 UPS Shipping Charges 40.00 40.00
S/N VHR0902102
UPS tracking# lZ W73 8R5 03 9479 7885
Delivery by end of day Thursday,December 21st,2017
Total $140.00