HomeMy WebLinkAbout334299 01/10/19 ®� CITY OF CARMEL, INDIANA VENDOR: 372929
ONE CIVIC SQUARE ATLANTIC DIVING SUPPLY INC CHECK AMOUNT: $*****5,185.00*
CARMEL, INDIANA 46032 621 LYNNHAVEN PKWY CHECK NUMBER: 334299
y7TON�°` SUITE 160 CHECK DATE: 01/10/19
VIRGINIA BEACH VA 23452.7448
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 R4356003 102123 1797236 1,149.75 HELMETS
1120 R4356003 102123 1797883 4,035.25 HELMETS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 372929
ATLANTIC DIVING SUPPLY INC IN SUM OF$ CITY OF CARMEL
621 LYNN HAVEN PKWY An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
SUITE 160 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
VIRGINIA BEACH, VA 23452-7448
Payee
$5,185.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Dtie
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
102123 1797236 43-560.03 $1,149.75 1 hereby certify that the attached invoice(s),or 12/27/18 1797236 Tech Rescue Equipment $1,149.75
1120 Encumbered 101 Prior Year 1120 101
102123 1797883 43-560.03 $4,035.25
bill(s)is(are)true and correct and that the 1/3/19 1797883 Tech Rescue Equipment $4,035.25
1120 Encumbered 101 materials or services itemized thereon for 1120 101
which charge is made were ordered and
received except
Thursday, January 3,2019
David Haboush
Fire Chief
1
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
o.
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Invoice Number#:1797236 Page 1 of 1
ATLANTIC DIVING SUPPLY, INC.
(DBA ADS INC.) Invoice
-OUR-PURPOSE. 621 LYNNHAVEN PKWY,STE 160 1797236'
YOUR MISSION. VIRGINIA BEACH,VA 23452-7448
PHONE: 866-845-3012
FAX: 757-481-2039 INVOICE NUMBER 1797236
DUNS: 027079776 INVOICE DATE 12/27/2018
CAGE: 1 CAY9
FED TAX ID: 54-1867268 ORDER NUMBER 791887
BILL TO: SHIP TO'.
NAME CITY OF CARMEL IN(926868) NAME CITY OF CARMEL IN FD
Snyder,Denise Tierney,Scott
ADDRESS One Civic Square ADDRESS 2 Civic Square
Carmel,IN,46032,US Carmel,IN,46032,US
CUSTOMER PO NUMBER TERMS INSIDE SALESREP OUTSIDE SALESREP,
102123 30 NET HOUSE,VERTICAL-FEDERAL-STATE- MAOSI,AARON
LOCAL IR
PRODUCT TRACKING INVOICED EXTENDED
NUMBER PRODUCT"DESCRIPTION NUMBER QUANTITY CLIN UNIT PRICE PRICE
EOS-II-MPLS-BK BLACK EOS MPLS 1Z2E78W1031703916 25 0002 $45.99 $1,149.75
•(ITP) 3
.CONTRACT TYPE' BPA GSA 5965P
ORDER TYPE PO
SUPPL..ADDRESS T � SUBTOTAL $1,149.75
ACCOUNT# TAX $0.00
REQ# FREIGHT $0.00
SIGNAL CODE TOTAL $1,149.75
FUND CODE _
PROJECT CODE PAYMENTS/CREDITS $0.00
MIPR CODE BALANCE DUE $1,149.75
Compliance Statement for Shipment of Controlled Items
ITAR:N/A
EAB: These items are controlled by the U.S.Government and authorized for export only to the country of ultimate destination for use by the ultimate consignee or end-user(s)herein
identified.They may not be resold,transferred,or otherwise disposed of,to any other country or to any person other than the authorized ultimate consignee or end-user(s),either in
their original form or after being incorporated into other items,without first obtaining approval from the U.S.government or as otherwise authorized by U.S.law and regulations.
Fes: N/A
When you provide a check as payment,you authorize us either to use information from your check to make a one-time electronic fund transfer
from your account or to process the payment as a check transaction.
This document is considered confidential and proprietary property of ADS,Inc.and is provided on the express condition that the data contained in it are not to be used,disclosed,or
reproduced in whole or in part for any purpose without the express written consent of ADS,Inc.
ADS's ability to provide the products listed herein is contingent on ADS's ability to obtain any and all required export/import licenses. If licenses are required,additional fees may be
added to account for these regulatory obligations.
ADS's efforts to perform on an order include accepting reasonable order modifications from the billing or shipping POC reflected on this document. Final invoice to the customer will
reflect item(s)delivered.
PROD 12/28/2018 13:38 PM
Invoice Number#:1797883 Page 1 of 1
ATLANTIC DIVING SUPPLY, INC.
Invoice
(DBA ADS INC.)
OUR PURPOSE. 621 LYNNHAVEN PKWY,STE 160 1797883
YOUR MISSION. VIRGINIA BEACH,VA 23452-7448
PHONE: 866-845-3012
FAX: 757-481-2039 INVOICE NUMBER 1797883
DUNS: 027079776 INVOICE DATE 12/31/2018
CAGE: 1 CAY9
FED TAX ID: 54-1867268 ORDER NUMBER 791887
TO:IP BILL TO: �, � Fs-� a
NAME CITY OF CARMEL IN(926868) NAME CITY OF CARMEL IN FD
Snyder,Denise Tierney,Scott
ADDRESS One Civic Square ADDRESS 2 Civic Square
Carmel,IN,46032,US Carmel,IN,46032,US
CUSTOMER PO NUMBER TERMS INSIDE,SALESREP OUTSIDE SALESREP
102123 30 NET HOUSE,VERTICAL-FEDERAL-STATE- MAOSI,AARON
LOCAL IR
PRODUCTTRACKING INVOICED EXTENDED
PRODUCT DESCRIPTION CLIN UNIT PRICE
.NUMBER NUMBER' � QUANTITY . PRICE..
EXFIL SAR BACKCOUNTRY HELMET;
82N-BL COLOR BLUE;NO RAILS 1ZE431640365413711 25 0001 $143.86 $3,596.50
..(ITP)"
80-SOL-1 EXFIL SOLAS REFLECTIVE KIT 1ZE431640365413711 25 0003 $17.55 $438.75
(EAR99)"
CONTRACT TYPE BPA GSA 5965P-
ORDER TYPE PO
SUPPL. ADDRESS SUBTOTAL $4,035.25
ACCOUNT# TAX $0.00
AREA#` FREIGHT $0.00
SIGNAL CODE
_ _ TOTAL $4,035:25
FUND CODE
PROJECT CODE
PAYMENTS/CREDITS $0.00
MIPR coDE BALANCE DUE $4,035:25
Compliance Statement for Shipment of Controlled Items
IM:N/A
EAR: These items are controlled by the U.S.Government and authorized for export only to the country of ultimate destination for use by the ultimate consignee or end-user(s)herein
identified.They may not be resold,transferred,or otherwise disposed of,to any other country or to any person other than the authorized ultimate consignee or end-user(s),either in
their original form or after being incorporated into other items,without first obtaining approval from the U.S.government or as otherwise authorized by U.S.law and regulations.
FCC: N/A
When you provide a check as payment,you authorize us either to use information from your check to make a one-time electronic fund transfer
from your account or to process the payment as a check transaction.
This document is considered confidential and proprietary property of ADS,Inc.and is provided on the express condition that the data contained in it are not to be used,disclosed,or
reproduced in whole or in part for any purpose without the express written consent of ADS,Inc.
ADS's ability to provide the products listed herein is contingent on ADS's ability to obtain any and all required export/import licenses. If licenses are required,additional fees may be
added to account for these regulatory obligations.
ADS's efforts to perform on an order include accepting reasonable order modifications from the billing or shipping POC reflected on this document. Final invoice to the customer will
reflect item(s)delivered.
PROD 1/3/2019 11:50 AM