334097 01/04/19 �p�"C4gb
`/ �F, CITY OF CARMEL, INDIANA VENDOR: 178620
`% ONE CIVIC SQUARE KUSTOM SIGNALS, INC CHECK AMOUNT: $*******695.10*
9 /r°.. CARMEL, INDIANA 46032 PO BOX 776238 CHECK NUMBER: 334097
°j'�'r'oN��' CHICAGO IL 60677-6238 CHECK DATE: 01/04/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 559604 .10 EQUIPMENT REPAIRS & M
1110 R4239011 102161 559604 695.00 RADAR REPAIR
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 178620 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
KLISTOM SIGNALS, INC IN SUM OF$ CITY OF CARMEL
PO BOX 776238 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.
CHICAGO, IL 60677-6238
Payee
$695.00
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
102161 559604 42-390.11 $695.00 1 hereby certify that the attached invoice(s),or 1/1/19 559604 radar repairs $695.00
1110 'cuirtTie ei1,-'; 101 1110 101
- -3. bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday,January 3,2019
1go"' v6.a.«,,,
Jim Barlow
Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
,20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 178620 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
KUSTOM SIGNALS, INC IN SUM OF$ CITY OF CARMEL
PO BOX 776238 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.
CHICAGO, IL 60677-6238
Payee
$0.10
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
559604 43-500.00 $0.10 1 hereby certify that the attached invoice(s),or 1/1/19 559604 radar repair $0.10
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
'2,-
v
Thursday,January 3,2019
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
kCCCCCCCRemittance Options:
Remit checks to:. .-., Kustom Signals,-Inc.
PO Box 776238
KUSTOhII SIGNALS,INC. Chicago, IL 6067776238
AN MPD COMPANY Remit Electronic payments to: PNC Bank,.National Association Routing#041000124
9652 Loiret Blvd PNC Swift#PNCCUS83 Kustom Signals Acct#:4105770886
Lenexa, KS 66219-2406
(913)492-1400 Fax(913)492-1703 For credit card payments: wwwikustomsidnals.com/payments or Call (913)428-3337
Customer#16673 Invoice# 559604 Invoice Date 12/21/18 Kustom Order# 221548 SR Customer PO# 102161
SOLD TO SHIP TO
CARMEL POLICE DEPT CARMEL POLICE DEPT
POLICE DEPT HDQTRS POLICE DEPT HDQTRS
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
Net Due Date 01/20/19 Terms net 30 Shipping UPS
Quantity , Part Number DESCRIPTION Serial # Price Extended
Shipped -Price_
1 200-1746-OOR KA ANTENNA DIR.EAGLE
DE31156,DE31157
OW
ANTENNAS(2)
NO RANGE
BRIAN SMITH 317-571-2594
BMSMITH@CARMEL.IN.GOV
*******ESTIMATE*********
1 TRACKING DATE SUMMARY FOR THIS REPAIR
DATE RECEIVED 11-02-18
POHOLD 11-02-18
Technician Start/End Date:11/7/18
Date Repaired:12/20/18
EMAILED ESTIMATE 11/7/18
APPROVED,PO PROVIDED BRIAN SMITH,EMAIL 12/4/18
2 015-0808-00 WAVEGUIDE/SOURCE DIR KA ANT 269.00 538.00
4 187-0133-03 0-RING,EDPM,OD 2.383,.074 THK 3.15 12.60
1 222-2312-00 CS RADAR RECERTIFICATION
1 222-2312-04 CS RADAR SIMULATOR ANALYSIS
17 111-1111-13 DOW Radar Labor tenths of hr 8.50 144.50
DOW Radar Labor tenths of hr
Replaced the microwave assembly and seals in both antennas.
Checked antennas frequency and sensitivity.Certified the
antennas.
DE31157 35.480ghz
DE31156 35.477ghz
FEDERAL ID# 43-1757730 WWW.KUSTOMSIGNALS.COM Subtotal 695.10
Page 1 of 1 0/c Tax III IIIIIIIIIIIIIIIII III �I 0
TOTAL 695.10