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Home My WebLink About181991 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 178620 Page 1 of 1 1 ONE CIVIC SQUARE KUSTOM SIGNALS INC CHECK AMOUNT: $647.17 CARMEL, INDIANA 46032 PO BOX 411882 a� ATTN: ACCTS REC CHECK NUMBER: 181991 '�'e..' KANSAS CITY MO 64141 -1882 CHECK DATE: 2/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350000 21318 408244 647.17 REPAIRS 4 Invoice Number 408244 Invoice 1111111111111111111 KUSTOM SIGNALS INC. Customer Copy RE TO Invoice Date 01/14/10 A PUBLIC SAFETY EQUIPMENT COMPANY 1010 W. Chestnut P.O. Box 947 KUSTOM SIGNALS, INC. Customer Number 16673 Chanute, KS 66720 0947 PO BOX 411882 Order Number 156209 SR (620) 431 2700 Fax (620) 431 2734 KANSAS CITY, MO 64141 1882 Customer PO 21318 SOLD TO Page 1 of 1 CARMEL POLICE DEPT SHIP TO POLICE DEPT HDQTRS CARMEL POLICE DEPT 3 CIVIC SQUARE POLICE DEPT HDQTRS CARMEL IN 46032 3 CIVIC SQUARE CARMEL IN 46032 Net .Due. Date 02/13/10 Terms net 30 Shipping UPS 36958 Ext ended "Pa Number ��DESCRIPTION (Serial x z Price Shipped o m u N m m t 5 P riced 1 200 1639 -30R EYE II LOCKER 36958 ET01679 WARR DATE 05 -27 -05 JASON OGLE 317 733 -4600 FAX 317 733 -6257 jogle @carmel.in.gov VCR CONTINUOUSLY EJECTS TAPE ESTIMATE 2 888 8888 -36 CS FREIGHT GROUND 65.00 130.00 INBOUND AND OUTBOUND SHIPPING CHARGES 1 015 0559 -20 JVC RECONDITIONED SR -T5U 442.17 442.17 10 111 1111 -12 OOW Video Labor tenths of hr 7.50 75.00 OOW Video Labor tenths of hr S/S ET 01679 W/SRT5U11810488 RECORDER. REPLACED SR50169W0185, (CONTINULLAY EJECTS). FUCNTION TESTED CHECKED OK. REMIT TO: FEDERAL ID 43- 1757730 Subtotal 647.17 KUSTOM SIGNALS, INC. PO BOX 411882 III IIIIIIIIIIIIIIIIIIII II III o /o Tax 0.00 KANSAS CITY, MO 64141 -1882 TOTAL 647.17 WWW.KUSTOMSIGNALS.COM INDIANA RETAIL TAX EXEMPT PAGE i tyr 1 of C CERTIFICATE NO. 003120155 002 0 1 of 1 1i PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 91 11 R 30NE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP 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 Japery 8, 20 @C repairs t VENDOR Kustom Signals, Inc. SHIP City of Carmel Police Department P.O. Box 411882 TO 3 CiviccSquarew Kansas City, MO 64141 Camel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION repairs to car cam for car 48 Smith 647.17 J 0 ill oi i t....°, °mom i ,,-P4 Ilk k/1 Q is Send Invoice To: City of Carmel Po ri ATTN: Teresa Anders j-�rr0 ,i 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 500 equipment repairs an main i41(IgNT NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. 1 NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. j 1 PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY I /J r l "T l/.'� .h SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2 1 CLERK- TREASURER DOCUMENT CONTROL NO. COPY SIGN AND RETURN TO CLERK'S OFFICE OUCHER NO. c 'WARRANT NO. ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR i Board Members PO# or INVOICE NO. ACCT /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 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 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund Preslribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Kustom Signals, Inc. Purchase Order No. 21318F P.O. Box 411882 Terms Kansas City-; MO 64141 1882 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1/14/10 408244 payment for repairs to car cam for car 38 Smith 647.17 Total 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 Clerk- Treasurer VOUCHER NO. c 'WARRANT NO. 4 ALLOWED 20 Kustom Signals, Inc. IN SUM OF P.O. Box 411882 Kansas City, MO 64141 -1882 647.17 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members DEPT INVOICE NO. ACCT #(TITLE AMOUNT I hereby certify that the attached invoice(s), or 21318F 408244 500 647.17 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 January 27 2 0 10 *44411 _b Signature 1 9 44 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund