HomeMy WebLinkAbout183749 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 033825 Page 1 of 1
ONE CIVIC SQUARE CDW GOVERNMENT INC
CARMEL, INDIANA 46032 75 REMITTANCE DR CHECK AMOUNT: $4,380.00
SUITE 1515
o CHECK NUMBER: 183749
CHICAGO IL 60675 -1515
CHECK DATE: 3129/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4463201 21574 RXH4985 3,840.00 NETWORK SWITCHES
1207 4463201 SBQ3112 540.00 HARDWARE
The Right Technology. INVOICE NUMBER INVOICE DUE D ATE
W.G Right Away.— 0 310412010 RXH4985 NET 30 Days- Govt/Slate -Local 04/03/2010
VISIT CDWG ON THE INTERNET
OUR PART NO. DESCRIPTION OTY OTY QTY UNIT PRICE TOTAL
ORD SHIP B/O
1090632 3COM SWITCH 450OG 24 -PORT 2 2 0 $1,920.00 $3,840.00
Manufacture Part Number: 3CRI7761 -91 -US
Serial Number: YEYFC6R250900
Serial Number: YEYFC6R259900
1
P
AR 2 2010
By
CH INFORMATION: THE NORTHERN TRUST ROUTING NO.: 071000152
50 SOUTH LASALLE STREET ACCOUNT NAME: COW GOVERNMENT
CHICAGO, IL 60675 ACCOUNT NO.: 91057
HAVE {QUESTIONS ABOUT YOUR ACCOUNT? PLEASE EMAIL US ff: credit @cdw.c m
ORDER DATE SHIP VIA PURCHASE ORDER NO. CUSTOMER NO. PRODUCT
03/02/2010 FEDEX Ground 21574 1674420 SUBTOTAL $3,840.00
SALESPERSON SHIP TO: SALES ORDER NUMBER SHIPPING $0.00
BART HECKMAN CITY OF CARMEL
312 -705 -9572 TERRYCROCKETT SALES
barthec cdw corn 3 civic Sq TDL2998 TAX $0.00
9 CARMEL IN 46032 -2584
INVOICE
AMOUNT $3,840.00
CDW GOVERNMENT AN ILLINOIS CORPORATION FEIN 36- 4230110
1 111111111111111111111111111kINllllllllill41111111111111illlllllillilllllllllll 1111 AMOUNT DUE $3,840.00
CDW Government "CDW•G ")Terms and Conditions of Sale
'1'IIf. ICumS AND CON III IONS ARE I. AtH E, D '1'4) 'PROM! COSI'AISI'.D IIt. KEIN.\: \1/ 1411' AIDI IIONA1, Prwing Fnf rniM A\nilabilitr Fiis,,Ilih er
l' ER\ ISA ,N'I(YI,kfllllo.NS( IN T1{ 1{"' I' F, RA I5:INlicON'I)HIOV3"1.1N'3�.1 "I' Ii'R'N'.CIW.CO.1I Sellee rt °cnc °Ihe nyhl l�mnAl adjuslnentsw poem} I'm an
d rr sl —ill r v: f r ,r+ witning bill inn lim'ICd
INCORPORA'EED Iiin EIN BY REF RF E. %N\ "IfKRMS NOT DF.F'INF:O UEREIN ARE DFFINED %I .,hi,niting tnneket condo l M Pn,d n drseunu lu -list Pmd c rn,a to hll, -n rill: onto pl h ,nppj... In ice
w'w'w'.C.DN'.COM. ANV ADDI1'IONAI. OR IIFFF.NFNI l t'KMS (Ill CONIII'1'IONS IN ANY FORM change I n ,td, el sen,ettl_- 111 orders n bled w P-dlcl ncn IahlUty I Ohl, sa
ltdabil th ill 11—,I -1 Io
IELIVERI:IH\'VOII(•• CUS IOMFR'•)ARF'REFtERN DEENILD' fit RE AUVI'ERIAL AIA F,RA'1'IOtNS AND perform the Son— I't""ine. Ncln aranicrtiil la heabh to tali ItC 'I, ter,,, -le Utien'cea arc bein_
NO'] W OF( RLIECl1ON "111'1 U UM AND REJECTION (IF 'I IFA} IS Il Uti FNN CI\'Ll. P"Iflnmcd Linn, mnd mat,ri als b,sis. and provided by si,&, arc for planning Pil't, see only.
Rl',IC,CF: P "PING DEI,I%IER), 'OF 111F PR(IDUCIS OR RY FS( ;A('.INC111E CDw'AF'F11.1,1'I F: IDEN'l I F Fit IIIIiiarion of Liability
ON THE INVOICE, AIAFEMENI OF WORK OR OTHER CDW I()CUMENI A I'IO,N SF.LUR 'IO t1N'DEIt NO CIRCUNFIANCF.S AND NO'Ftl 'fi fSIANDING '1'f O: F.UI.,LkE OF ESSEVI'IAL PPRI'ONI' OF
I'R0k7 DE PRO DIiC'i UIt PE RF'O N,w OR PRO ORE ANY SE R\I(F'S, COST0,11FR M-. RFES "1 fl RE pUIiNO ISV RFMED\' tiF "J' FORM 71 k.Hf.I N. %k'il'l, I'l'l krFIEIA'I'F,S OR I "I ;S OR 'lllr ;lk St PYF,IERS.
NV' ANDACCEP'1'S'I'H f:S r IERNIS ANI CON DFIiq NS U'NI,F:SS (_IiS'FONT F:N A. \II SELLhR R\k'F:SR;,NIAlA FURIX)N R,x C'IOR1 Oil AI;EN'FS Ill: LIARLE FOR: (A) %NV INCIDENTAL. INDIRLCI. ,SPEC%_ %1..
SE P,%RA'FF \CRFEMEN'I F(IR '1'll i' PROVISION OF PRODUCT OR PI:R F, FOWMASC OF SI'RVlCES. IN PUNI'l11'L, ON CONSlQLEN7U\I D\ %I\GI:S INC LUDIN( kill' NOT LANU'I'l:D l(1 I OSS Ill' PROFITS.
1k'I ACED CASI. Illk SEP, %RA'IF. ,IORF. E. %Doti l' w'I I' COVERS. IIFSINEsS. RF.1 Elk LIES OR 5.%Ylk(„S. 1'.1'F':N FF SI:1.I.I:R IIAti RE ;N AD\IU:D OF '1'111': I'OSS3kll.1'i'l I OF
SUCH I/A,MAt ;l OR IF SUCH 3IA,MAGEi ARE O'1'1IERIYISF: FORESELARLE, IN LA( 11 CASE, w'lIE'I'IlVk
Imintrtonr 1pfnrm al fon�kbnut'l Ill—' Irrn—d Conditions A 1:1..11 \I'OR AS1' 'U( :l' I,rmlimrn I� PRE,NISEII OPON' BREACH OF CONIKACI• k
i1— Terms sold Can, 1 ails 1111ni- V to ng slant( Iwnwct Culture, ..d Super a td ore 1111-d n here n n, rill- NEGLD:F'NCE. 11'kk_ 1' I OR O'111 EK '111EOR) lIF LIAFILM'! (R) AM' CLAINIS. DEMANIS ON
Femns and Cotd unni of th s "Apre,. to l+ C tors ace hest It ins vnd t'ondll acs by Boil u a purchase Iio tie or M1 ION'S AGAISS) C US'I'ORIER R1' AI ID RD P.ARI 1': (Cl ANY LOSS OR cLA1.\I .\RISIM; Ofi'I OF' OR
piecing an order wilt Seller tr shappingo S,Ilers Wrbiitc (rite ti1k')m'nlhttutss•rry ucsunp yrtuku.[s (Ihe "Produets'I l', IN l 1 11'1'111 C E_ti I'O:11 F: R'V INII'I,I;Mf:N'1'. \fl()N' OF ANT CO T'('1,I'NIfl. IHt
'gaging scii perform or procure any 5 ti fas lllis and nil rail l li tin„art &fn-1 hcrc nl RECOMy1F,NIA'1' IONS IFI'SPI.LKk OR 1'I'S %In1'I I.IA'I'FMS IIASt:D ON. REIM, I IN(: FNO,%I, A UNIMr IIt' "I OI
OR O'f IIERw'ESO, Ii F.LA I F:D'1O'1'll F. PROOUr_'1' OR 4FRVI(.FS; OR (1)) AN V UNAVAfLARM11'V OF' TIIE
Customer m s a purchase sxda 11�r odor in iat -alive pmps,sc on1 Additional or difil—ni leans and ndiliolns 1'RII UkI( -1' FOR IiSF OR AN1' LOS 1.11,1 \E,1l: F.D [1R ('(I f(RIi F'14'I DA Ilk rT11 S(IFT11',IRh.. I,N 1'II F ;E \'F: \'1'
a\ ¢rte
contame, Inany'such purcha,n order ss lE lx•nul3 std+ lid.'Ili..lprce n, tlinclud tg th conminW nDn "I,rns and (IF'ANk'LIARIL3'FY OR IY SELLER OR A NY OF I IS AFF' ILIA "1'ES, "MEF::V'IOl Y. €.lABRAI)'OF
Condninns" h It In edw, rm which C e t m'AnuwECd gr. v d age's arc n orpam,d here n by "r--, "r--, c nnlain. SELLER AND I' AE Ft1,iA I ES FOR IIA, \IA G.FS. FROM AN'Y \I'SE N' 11Ai:SOF, N'II,I \(1'1' 1 C F. F:II
th wart, und,rstand nuot dm pnnics wi,h the ntauers eontaul\'<1 th d supersedes and npl n it, end' 4'IIE LESSER OF: A) 'I II IRMI.,\K AMOIfN'C Y.\ED k)' CUS'F'OMEH FOR'1'IIL P RODUCIISI(:1VINC RISE:
any and all prior aommnnicativns and contemporaneous Ill—n-il, -d nidl-lndwil,eht,1b,, oral. wtitnn, or 'f(1'I'HE CLAIM OR'1'II E SPEOIC SE1tVICLS(I%Tm; RIsE It, I If K CLAIM; OR 113) 35g,gptl. -0U.
implied, if any, hetwc,n till Inuits wish respect i I the subj- In liner hereof.
Confidential I nn"Onminn
Cu fog I, c
1 Loch Inn) nnlicipnr s that it c hen n pi- tick I-- to it1l,. -ii of a Ild -Ind n n4 such par Ibe
131:SG TF,R 15 AND C'UNDI I lU1�S. Ask' S ATl: N3 E, \I'S OF %%'till K, '1111' �1 ?RIIC ES I'ILR EU NDI:R \N I) AM Affilimc_ u It third pa t_ fh�re'rtl Eel iu' cd 1 'ts'(�'e tl dl 1 td tl'or nn ten "11u r3 nc� p ;trlY in II s (s i.rman:c• of lid s
SALT: OF PRUDUCIS lil'Kfi TINDER ,1'11,1, DE GOVFW-D U!' 111E 1,AVVS (rF flit= S'l''": OI II.I.I,N01 S, Agretnen on) Nenlrmm�l nl'N Gorfidcnl ill I,ll"ntinal" tfor, ras' -tl_cle:lr
tt'1'1'l'ou1 Rl =(iAKI 'f0 C:ONFMC'l'S 01' LAWS RULES. ANY ARDITR.1 If ON, F \'i'UK4'LNI:ti'I'01" .AN written ft rm +,ilicn she«le'''ns•psnyk o or a, )n tokI.,w )pr cons tti.lctnt Ia J hi:b auclo. ill h.a
A3O31TR,VFIO OF L41If A)'I ON WI .1 UF. IIROIrCII'I' U\CI.OSIVELY IN ('DOA COI'N'I'1'. ILI.INOIS, AND part+it c c'Ih th'_:ly teeter witch the ng p,rn I acct s'rh till. ,�cacmenl.
CUSTOMIA"C' ONSET I'S It't ill'. JURISDICIWN 01 PIF.'EDFRAI- 0:1)ti.TAill COIIR'IS LDCA'11:D TI'IUHI:IN, ;nclndttib +t tntlnttaf)+Rtelcrrs urd l,tch.lanmrm tl t n h.( IrJ,tn ;1In Illnt,aC,t,stll n, l,,J,
S I; fi%I I'I'S 'I O '3'HE IIIICISDI( "11 C)N I I- Il;RI.OF ANI3 \'AIVFI '11 F, KI(III'I' 'lO 111,1 Nf,l; I'LN( L'. COSIoM1':K rnrorm nl'l t +dt'ch: la) Ica n c, kt I tl c p bll, throe s l n I 1 il te..,.... L 1 ray' (hl +a. k,, +n I, h
FORMER (O`LSLN'1'S '1'0 IUE L\I!R(`ISI: IF PI. RSONr \I, IUKISiM PION RY ANY NU('If C011t('I }VII)I pang. or hec,i nos Attwt R, Ihe rece'+t r_Iv t, I'nn' .ndp.enyb inF the a_h J.,le >eu ntd t-c+�t t•, ool i�.' A
n',r
RESPITI'1'OANYSLCi3 PROCEEDING EE_��ep[i,thecasc ofmtpny nsfnttcmyncnon in nn} s onbsicnttaf ll Ill till d_I.sn& pmr�wlh n spelt to nhe ill nl.. r(,) Is'nd,pe Jenlly LI-111p,d b, ac
f iri,h,g nut 411,— '1-- o td C, ndwl— n c than unit Ill r •r the e of act n,t� h.0 n The tight, and mploy s, l.axttrnct r "Flan, r tiF. patio uvho f ase -1 had ae,e a I, st ch prur
nfi +rnlano It. 131,, -tort url hie
nitl'es pm+ided Sehe under Il 1-in, and C'ond'lor, ore anti rinl 'e. I'll in ndd t on and d" n u ii —I or Pnludiec ('r,n lidem'al tits- should br jjInniflkli u h holed us, el by the d"el p-ny In Ili, tine of dls�l t as
other ri;;te ur_n,d,' uvailahlc It Ill. or in eywin'. On inji 1, ih —ink, us pussi3,le_ nowt„-. Flilnrc to su idennl) o lal +ri InIll c'onYdenlial Iniorm ;,lion III be code urr
Ibul such ink rmaucu, a oat u,nlidcrdial „r prcnrctudly.
%'lilt; R", of
If Cus des Seller w'Ih CnI (,atilt', —w. OlIll or selects n other than a r cr than .vu Ilarly I-'xch port. a w hold th, other p 's dbr {ideal tl I tl ,mat coot drrtial f p, d of th -.s IMI —ing, the
ship, fnr Nellcr rill, u, Nnd.- and i 1' I rdan,Ig, dting a ship n' t,•, pass t um Srllu to (tt,t •n �rr t pan &II, cry m J:ue of d'selusurr 1I' d It do u, to ;a Ic i I p+ reel vc a, I bt Id_ II. s -n t filienf l I Inf n I'[ kr Rind hilt
Ihe cart rr .0.1f. Origin, fre'bin ei 1 1' all Ili,, sh'p re litl, Prrdums and eU .,f h rr d, ri dui ill, n„less than s mahle Jegre f .t c. I]iselesurrn s•ftl v oll.r p: n lidenl al Inrunnene', 's R c e ll tie ra., nil
shipment Pa try S,Iler w (7--- tip n delivery la Ihe spec t ied J ittnatit t II .O R Desl nation, lie ght p cps d ;end Io t h, w i n,h,Idll tl, ,hv in Ohl, pll,,,- a ta- of thi, Arc c' till a1' pliable Store me I l it %VOrk and
i dli Nwlailh,t.mdi to the lorrao .g, fide. ¢t n,fiw ue w ll re w;Ih ale npp15"Ol 'or(nI. tit d C wmelr, rigl:IS �lud la I.I c v such Co, fid-n d €nfo oar u for pulp se.. f prow's% a ly rho I' rill ets a Se -mil:rw an r
thcm arc cnnta ned'n the 1' lnl tit hetw,uch Teens, rlx) and Cr ato er
ti. A p—hl- mine' Into c,t i, a c,. A St trclnc Inh Ill, rc n tin• appiicaMc c li n k or 1 I,, its h k n I f r. ns I acl,i each
relainid n Iheree Pn,duew n, l e tl Cull, ccn Customer and ar Sell, a, RI, a f nand tg n •trine such a 1 kn ill bas s_ I nil p ng C,l lidcnl d Inr,nnll rn ill tit, ,I cr 'an ly I.rr .toy pt rpa,r tit h.a
seeur'ty'ntstn tl. if regt trU ins cnnc —0] —.rd such purchase nn ctr ty inter,stot u he Ihnn till has r,ss pure,_', eenlsm plld 4y Ohl, ill'. RCtatd the eppletble 5[slemenl Jl'1 trrA (potIIIwiltenregn-
afnp ;wry', Ihei11 pan)' ,ill khl, r -nn or —Iili' tils ,vsvnrtivn al die I nfidemial Inrolmafi,rn of il,C other p,lrt).
Pf ear
Orders arc. n I binding upon Scllcr told ar.aplul by Srllcr_ r strew to pa, Ili, 7t ii -chat prier I or h, Products if a ms pain i l"n red h+ Ito rule t -nin qucsl d a ll, jadicl I by
plus shipping Ito the e. hipp ng is schedule non p paid by ('u_t met), rnaluU tk ahipp na ch rgc, Iltal tic h'lled to Scllcr as a gm m'nm,ntai yr th,x i „lose f ort d, iii al 11f,nual t nfth, elk pa Is. there 1 pun_ II •i the
,soh of ns'i b C. stotntrs cart er nae un grist lcrn sw1 paytrnenf are widen S..Ilc r', Ie d,t -,tiro In eonnrc ton wish disc WSing pang pram pi notice ri c,tob -clue sl ee, lh a h, h,clns't, pu rya u,k m, ,pp ,pr':ne p. order or wnh
Scr s biting perfn[mcd pure.... m a Smtemcm n1 N' R L dame- wiU Ray Ill, the Ser+'e n the a tints and 'n e Mire ilea, n t 1 a It ux rca ubl, "forts Ie t•hw ca11 dcupal it rnern of Ihtc C I. ill Inhm
std
nrd�enc wile u v pay, rill ule set forth in for applicable \ralo it w( NI),L. If tie paymem sched Me provid,& "rot
Ji sclaecd.
Customer wilt pill fl, th, Scrc'iccs as invoiced b5' Sell- Invaie,s air Upe and M ntbn thin (hit Iiine period sp i(l,d nn Ihe
tiles_
ured Pro n Ihe dull of n Subjrcl m crontinning of edit approval by' Seller. Seller, o of ins ,lfffilI e lrn I'll
Rct
14i+ilege.
h,half of Scll v slue.. in va ez In iw'f n r S,llcr ce Custot a syIn r I,l' far p,niII shilin nd Se31er 'I'o t ohta it Sellers r,l I ;x111, Ce:'t n c 'he ld vi duct COIL' Ct i t r R,latlo Mili_J\ Will ill!
tit +rn r n, t r c or cl
n,r t r far all ill Nt, Sernec, J— h,d in a Statement of Work por
v tion thvmel C ....om cr n sl oy� R X1 ,_7„ rli, Cvslnmcr n .st cwt II, ('11W ('11W lc Rck nwn, f l t ctrl e, d Thin ie t 11I
poy' o xll pass due sums ill the Ic of one and nine -hillf pert ill I1S "o1 r south or the hitch est ntr al lnweei hyo t dog of rt-ceipt.
la+,. In lhe +i'm of a pa.'nr,nl default. f_u�l„nlcr „ill he respnmihle for all ill' Scllcr'- ,.»I,c nfeaRCn iotl, inchtdi tip, but not
lirniled tad c mil eosin. filing fees acrd utrornu.;' I In uddilinu. if poy vnp ur. nor nn,t,e 1 LL, descrihed ahav,. S,ll,, Wlilrnllnn
rescnes the n0. to suspend% ca unit p Iis rrc,i. rd. Any cl.' t. chspute r c (wheter h tt r 1{ s,'nrnc,r pre itg present or fdl rc, a,!
Ittding Dirt rntt line aid I .n It In inkslVmnl t, and ,yailnhlc claim s
s) Ur king, 1 n,nn r, n
relining Ih,
F.,Imrt Si Ih cn
Silt PuAt'l', e S'icet. th in rcrminn e up a npplicnlian 01 lhen, "In, and .1 in, ctate,nem ill' Work ,I I.,
If Ih 's trtnsaatinn invnlnc„w exp rtoiI +.(',r3 td,y. butt t it R•J to c,nnn odities. suriwar, nr reel i,n.y, suhleel to hreach. nit I'J'I-IhercoL the r,Irfo1,InI_ huh
sal Iry rl ewe l'ew tadI Ji Ilrns or ny Stat l e co of
[hit I:apon Adta iktru i R Im' t .nth (r ns t erl rid In. n Ihe Un'led S acs by Scllcr in d n„ with Ihr Work Iinond Io Ihe lull evs 11 pernofevf F,. apt l,ahlc l'i 1' Con,h th ill psi e, who tr t
L' sport :ldmi i srral'or Kept l oils, b vets' I a Unil,d SI tl,s law pi h'bil,d. here u), C II n s ar an, of its uf rd, 'I ti. n tarkchttg Ict,Ilrrb,cU, a' (taint "t U'f L! Di MIN l -,'F L111)N
Il tl: I ;I.I ;Cilt). C)F 1 \'1' ()p SU,I,F:l. C:1' Sl'O\il Ai r Ok1111. 'I'1 flRD PAKll3 S N'1Id.VLD. P
b, a E \C I \'I`I.D
Warta alter I'IhA1- 13 N101NG ARM IKA I (IN, I urhkrmivn is .h, II „III be rt t led pnrsu:ml I lro ;SI V 1
Nldtr. o4 the
C:us understand, Ihw Sell,- i r ill Pl, ma nslfnci urer of till Products purchased In' f'n —ncn c�rcu tick- and the -I, Ara t Arhhnn'_ A— ,eialw, If arhilr,aw n is c n h. y petty wnh reap+-,l Iw U il,iin. nci dnrr Scllcr �lor C'u.stunl,:r
.ullercd are those aflhl, into nlactur,r 5.11, or t, Afllt.ucr Inp rehn,' g lilt• Products,(.. ,relying will h a+ the r tull'gts diet Clnttn n ono e, I,, rial an t hul('Inin rr toe gngr I nn stills in w +ery
ar nc� n nun ,tare s spec UeetmtP sal) a Id i not rehrng 1 n,, sixrt hcouotu- phntngraph, n of bet c. eepl ns prow ded in, in the apphicablc 'nrhrlmlton rnl,s oat of the p, ues r d rd F rt hr r. ncn r will
o f lmu'atton, cluing Ihe Pralucis tha, n v be pro, ded by Scllcr n 1R It $1;1.1.1'1( AM) IfS AFFILIAl1 ;S nor have rh, riphl nr pa I r pate a rrpresrnrari,e t nth, f a clncc �f sn .t rots er tin tQ tr Clawn
%%Sill EI31" C >pft ESS L}' I)IS['I.AIU 11 C) iVARRAN'II l;S CI 11 lF:k FNPRIISN till IAIP1,11:U. RI:1 „1711) 11) \nlw ll y d k; +v ch. r la in ti's nAnded in III— I -and( _nditt _ll'_ arhnIuL tnt iti—lr
nn I
PRODU( "i'S. \CLUOI \'G, 13111' NOI MMI'ILD '10. r1.V1' IVA RRA N'1'\' OFF '11'I Lt A( (:LIRA('k', Ilk I,ae tl Ad'in, I nt icy Id US C' ;,s U145* tht .ubircal'n ,+ill ak, place
N1LRCtl:1. "I'A 1411.111' OR I I �'ESS FbF(A PA RI)CUI., \K PUKPQSI:, WA RKA N'I OF \0 \I KF kINGL S1 U,N l, OR It— ng jurisd ,oiut n I .otter i,, dbmcnt of Ihe aw trd r,rtdncd by the arb'uata is1 k'nch pan, 'I lai'''d w'U lent'
A \'1 In{t ll ..1,
VOUCHER NO. WARRANT NO.
ALLOWED 20
CDW Government, Inc.
IN SUM OF
i
75 Remittance Drive, Suite 1515
Chicago, IL 60675 -1515
$3,840.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel IS Department
PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2.1574 RXH4985 I 44- 632.01 $3,840.00 1 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
Thursday, March 25, 2010
n
Director, IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoi or bill(s))
03/04/10 RXH4985 I $3,840.00
1 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
The Right Technology. 1 INV D INV NUMBER IN VOICE TER
WiG Right Away.
VISIT CDWG ON THE INTERNET 03/1612010 SB03112 NET 30 days- Govt/State -Local 04/15/2010
OUR PART NO. DESCRIPTION O OTY
O R D SHIP BIO UNIT PRICE TOTAL
1922169 3COM BASELINE PLUS 2952 48PT 1 1 0 $540.00 $540.00
Manufacture Part Number: 3CRBSG5293 -US
Serial Number: 927FCBR3D568A
4
fit
CH INFORMATION: THE NORTHERN TRUST ROUTING NO.: 071000152
50 SOUTH LASALLE STREET ACCOUNT NAME: CDW GOVERNMENT
CHICAGO, IL 60675 ACCOUNT NO.: 91057
HAVE QUESTIONS ABOUT YOUR ACCOUNT? PLEASE EMAIL U AT: credit @cdw. om
ORDER DATE SHIP VIA PURCHASE ORDER NO. CUSTOMER NO. PRODUCT
03/0512010 UPS Ground 1 2 day) 20681 8671061 SUBTOTAL $540.00
SALESPERSON SHIP TO: SALES ORDER NUMBER SHIPPING $0,00
BART HECKMAN BROOSHIRE GOLF COURSE
312 705 9572 BOB HIGGINS SALES
12120 BROOSHIRE PKWY TFG1580 TAX $0.00
barthec @cdwg.com CARMEL IN 46032 -2584 INVOICE
AMOUNT $540.00
i '4 H,`Vu.l� ilul�y_v;}[1 �u 9m 5 9P -yua "P o SI 1 ipsw�A nml SIFI,I, tli lli \[l) }I'll1i\'141KIry�I1.Ll IVt t1 A NT30 WLII "ilf PJIII110�'S�pCl il.711y?]VLY
uhl .t 1 ua la
CDW Government "CDW -G Terms and Conditions of Sale
me Rigne r,.ea..olo
IfV FERNiS A\DCUN'oIFIONS ARV 1.11111'1E1),10I'IM)SP:C'U,N IAINED RENEW A,NI)IIIF A ll IIII'I VNAL Elicinp, Infonnalrwu;. :dlnkilit)' Disetainner
"PERMS AND ONINTIONS('O\'1'.11NF. IN; 11 #F;" TERMS• \N'I)(:'.CJNm IONS" I, t, \'IS% 1'N'14'N'.C'i)N'.CORI $t•licr n•_.crves he right ra.Ik,.ndo:f tar It[iuog I'r.dn-tul Scr'c olii..r' inici.snrg put rI+r J I nrd
t.'SCORPOR,N'1FD IIERFAN R1 REFLRXN'(E_ ANY 'IF,NINIS NOT HF:I INF I) REREIN ARE I)RFINICU Al Is. 'h;rngrng na ....n.li,i 11-Ill" f rentie a ore P I ,r nnar alahlit+_ n Iufacturrr pr langrs "i"l pries
ANY ADDHION'AL OR DIFFERENT IEKAIS Oft COSM IN %N'1 FORM chlmgex in ad+.en Ew ,e All ,rJ,n n Bubo- Io product a1 x'Iahil t- nil the Iilabil iy of pi.nvt+n let to
F)EI:IVERED RI' 1'OU ('Lrlsl'O,11F:R") ARf RERFAN' DEF,NII:D 'I \I RF MATERIAE 11 :1ERA VION:K AN'R perk rI, h s„srux "Tha,lrne, SJIc c not.,u,va t- lhat it will he abl,to 11,111111 r m de s, If Srr) e,: in, h-
.S()'I'1(:F.OPOR)FI MON 10 TRENI, \ND ItF 1F,FIlON'OF'E lIFNI IS IIFRF.IIN' GIVEN. performednn a time and mx,ri: €a bull, I rs.....n eproeid,,Jh for planning purpmes.ill
H ACCF:P "IING DELIVERY OF 3311; 1'KODIICIS OR III ENGAGING 'ME (IM AMEIATF, MEN FI,l1; E) Idmitslinn orl:it ly
ON 111 F; INVOICE, S'I AFENIENF OF \WORK OR OTHER C'DW Ix1C11Ni E, FAIRON 1"SLLI.FR'1 "FO UNDER NO CIRC' IIM\IAN(:F,S NN'll N'O'I'W'I TII S'I'A N't)E Sf. `I'IIE FAII..I:RE OF F;SSEN"1 "1AE PURPOSE Of
P RO N'OIE I'ROO(!C"I OIL PERFORM OR PR()/_IIRI. ANY SFRVICES, FESrOlillR M'.14 I:S "I0 HE HOUND ,NINN' RENIF.P1 SF.T VOR1IF IF I: RP:IN, )A11,1, SF,IA Ell. ITS AFF'IE[Al FS OR I "1'S OR '111 I�AR SI'PPEIF:RS.
ifNIANDA(:CF.EI,1 IIIESI. EERNtS A\'E) C:C)NFJI'1" IONS UN'I..}:sSCIIS IONIER A N
R SELI:F.R RAN F. SIC,,NEll ,N :SFR(,o NrIF IOHS OR AGI'N'I'S HE EI.MIEF FOR: [Al VIV INCIDENTAL. INHIRF.C'I', SP F.f_I,11,.
SEPARAr AGRLF:MP:N "I FOR THE PROVISION O:N OF PItOOEICT OR FF:RF(IHAF- NN/ "F: tllr SERVICES, FN YII,SFIIN'E OK CONSE(fUEN'l IAL DANIAGEJ 1,` I.l HI,NG Itl l' :NYi'I' 1,1 Ni1't'I'D 10, LOSS OF PRU FI'1 S.
'5'111 CH %A SFTHE iEPARAI'E AGRFF -M N'l lY1Ll. (Yll'ERN'. RUS3IFSS, RI,I'F..S'VES Olt SAVINGS. E1'E.\ IF SEE1,ICR It AS Hi: EN Al IVISEU OF IFIF 1.OtisIHII.FrIF:S 01; SL(:11 DA:NIA(':F.S OR IF SI)C II DAiMAC.F.S ARE' O'I'IIFR1l'ISF'. FOREM'EARI.E. IN EA('II I %1F. N'IIE'I'IIF.R
Imp,,,tam lnlnnnatiwn Abnut"Iltese'ferws and 11,ndiOwn> A :EAI Al FOR ANT Sl;" EIAFHEI'FY IS PRr,'NII_SVR UPON' HRV- CR OF (:ON'I'RA('F N'ARRA \TI,
'[heal, Term- all Condition ,o-nul i binding cwlrrnet K" (I,loner and SO],, and are rd-,d h, hate n nx either NE( ER; ENCE, I RIFF LIAHLI IA OR 0111 KR 'I11 F.00 OF FIANIEl 11 1 Hi AM Fl,•)1N1S. DFMA:SUS OR
'Tenn, and CNIditii ,thn'Agrec,en" Crsl Hera 'p, these Iems,md Condrl b akirlt ;a Rom nr AMkON:AGAI \c "I CFti'I'O,NIER IS \'.NNI "FIIIRD PAR F',(C).eN1'I_I1SS 6H (.1-A0 ARISING 111''1
'(IF OR
plxeirg air.rder Willi Seller l,r :t ping rn S,Rrrs W,b,n, tIhe'Slte xhrrW,se try u,stine products Lill, "Pro,lac•,' I nr IN CONNEFFION N'I III C1�53'OMEIt'S I NI P EEM EN'1'A'1[ON' 01' ANN' C ONII.A111O,NS OR
rn3ogmg 5,,Hu In peornrl'n.r prwcnre anyS s(as this .,,,fall aplalh 1t n, air JOI-1 lrerc'n). RECONENO:NHA'IIONS OYSELLE it OR Fl, aFII ElAlIiBASED ON. RF:;I11:fi N(: FRI'Ib1, %RISI,NI ;01 "1'Of
OR OF II VEl1VISF It Et.A' 1' I'll 11) 1 IF F: PIFO DET"IS OR SERN'ICES: OR fD) ANY IINAVA 11,: kit I ITII OF "111 F:
Cuvlorncr n i- o p I s, uNcr I'or ad,,,il,islrafr), purpwsu only. Additional or dill-an Icons and conditions PRO 0 F IC' FOR US1' OR AL" LOT, 1) ANIAG F. If 0 R(0 R R 1'P'rE11 DAI'A OR SO F'I' \1',1 It F'• IN 'O E1 "E NF
ineJ in In, Wh purchase nrdrrwllt- .11- fillo,d. 'Elr l i- I.iitylhet' ii in the i'enn.s and OF ANYUAREIA I'V IN'('1:RRF:O ItN Irt.I.,R OR ANi' (IF [IS AI'1IEEA'IFS, '[III, ENI'IRF: ].IANILI IL OF
Coxditi. w "Ftk x1 W.cdWcam,hi,hCs I ore
ackno •dg„nrd agrres iiii-rmt,d h1,,n b) di encc )omoilrs SFLF:
I.RA,NI)1'rSAFF'1ElAI E G
S FOR D%%IAES N'ROYIANT( -'WSE NVIIA'I'SOEVI;K NV H, 1, INOF EXCEED
the mniru understandingof the path,,, resp. fo the I-R, enntaia,J herein and ,.N-des and r,'Pitl n in its enlir,ly '111P. EF: MFR (IF: (A) F; IRILL,\It A�NK)FN"I' P.III) Nl' C(Iti Ff,NJER FOR 'Fill 1'ROl1lr('l lS� (;I1'I, RISI:
an) and a If I w, c.mneunnenp ..,it enptemponan.a. ai ill, a nd xnd I hi,fl writ„ -nxic or 'IO I'll EZ'LAEM OR'I If ESPE(,'li•fC-ERNI(.l'.J GI VINE RISE 11)' 111 I"l I N1: 011 (it) S50,00;0.,
implied, ifxny, bcnvwn the runies -111 to U1c subject miner hereof_
Carr lid en I inl 1 n h, non I I on
Gil in}; La f
1 sty u h
-nth pall plant, rtlal it be v n a prr cs to inf.nn:ai„n ox a ,midemraf n c Ili ,,,h pur
sl,, the
'IIIFSF IIR,MS AND Ct)ND(TIONS, ANY SIATENILN"I'S Of WORK, HiF SI:R(ICfS AFRC1' \'DER ANO ANY All' w; rattwnl Iran f,4 ere naH,r t J I as "r I d,mi.d InF. moan. 'Iw0, ,thrr R: the fnmtnna, 1,t Ulis
SALE OF PRODI)C'fS HI:It1:4NDI;R \4'11.1. HL GGVERN1:D BY TFIF, I'A11'S OI' 'I'HI. SIA I'F; frF II,I.ItiOI S, .N�ecnr, nt Ind SI, e 1,n ill Wu�A '(e,nfdemr.,E Ir,l- rmnt.e nca ,s any I'_ rn ,r data ,n vial, ,lalre r„ of
u'1 11i AjI REGARD TO CONTI..IC'IS Of I,A%VS Rl.l.r,S ANT ARMI KA110N, I1.',F0M'l, \d EN "F OF .'IN rittcn Yorn +vhreh (Irrt ccv ac cans knows nI ha, ra.. Iis Au, w', pi,prc).rr), rI I ns1 ni �ti_h 66-1-4 h"„
ARMIRATION OR LI'I'3GA'HON W11A. OU NROUC(I I EN {,L LUI I'Ft,Y IN ('CODA CILIUM')'. IIAJ,'1015_ AND party in will 'If, A, -ncnt o 'Inch till rcc,i,'i,g pm) nn a, h. vc x1, ,.s i h Mi Ag, e,m cnf
I'DS'l0Nd I_H CON51: I'S'1'O 7111 )URISFIR ZION' OI :'1 lh FlAAAAI. AND S'1 :A 1'1. G-IOR IS I. iCA'I FD l'I I1:Rf.l Y, i3Ondmi; balm or limited I,, d c Ier r, and condo 1,l each S i er,mx of H'nr1_ i oaf Inl, n rill Il a,clnJc
St1HNRIti I' I', Iill- lURINDIC I' IVft'IIII'RE(il',1NDI'AlVIr,c'I I�II�:RIWIF III"HNGI' I ENItF_ f:IIS `.)SIEIt unfinrnan,m „h.b.) b„r A nu+ n it, p�.bi, llr trtd,re.,n ptl,- (hie- -An'. 1,rl, r,
Iri; R1'I II +R r'I)NS I.IN`iS lQ 'O II: F.aERCISI? (11: PERSONAL I( IKISOII:IION' HN' ANY tit 1, n C )(RI' W'I till pnrt).t i cs kn, th:. rt ¢Ian, I,umx hirJ pan I- r_F, JU to lr_.I,.: nndl F1r_,n >r
RI.Spk('1 "FO ANT St :(II PRO0''EOt.N(` F:..c,l l in the woe of uvy,x�urern. n,iAt p. l um any all coin am .n eftdrnn tl I. 1,r the d cl ,srny lnrty ill crpc. to the nppl ell L ,nf t.tl',,, 11I 1 nnJ,y,.ndcnt lc nG� lop. rF r,
tarn nt of III-1 --,d Lordt vJran,x11), r ill thectux, ill 1,n h¢1 o the twill., and cs"urFeontr cl ,n .I'"It r, .1119 pnrll who Ir,n ,:n+I bad n.ce., r, •1� €r 1,.he,. n_pr<kn�hl�
drt+ p-idcd S,IIcr under ILI- I'errl, and r Cnndrt,cx, rc en nu€af,n. in addrl or R n d d. r o� In, t or Palvdice Co,tide 1 al InF.r sl old b„I,a I I ed 1ab,Ind ns ,h h, tine d�sel ti I.;n I, at do I'm t
U other right 1,r yenned) n)ailndle ill ia, Ili in e, iny_ pro,,li the -F,R a, la,cihte, however- fnilnr,� I„ :,n id,- ,rr'i ,r Ixhel such Cenl id -lint FIk-latron nal I, id,,-
that such i1, Funnxri.n is 1, Wpfldentinnl err p,xecmblr_
Title: Kiek of
II l usromcr _ides Seller "I". Cu,tome c,n nnh,r �elcr, a c other than a are ,r that -,calmly Csch part; a5rees eo I old the other p:, f. Sldemnl nlonn.lnun cr+tlldenli+l I� +r rx yard r'l Ih- l? folly .)illy in,
,bps for Seller t Ile to I'zeJ I,r and isA al l s r da nmge di nung <h pm n I Salted f ,r Iq-, dcln-cry II din, M d s,11, n nJ Ill, la. .t: t (cen+'a a i t holds is w (',rr Ii J, rful Fill'r n:t on o(1 6c Aims but
till ea rr -F.O. H_ Oriyi n, fre'ghI enllvet 1. For x41 u, tr sli pile File Ili V and td net: of Ill or dam Wye during n I,a; than r rc ohle d.tn.c cCea e. D,x,l,a, r_s of lhrclher p; )y's t �ntide rl al I nlurmal o, will he nnnetad
sldpmem Pass fmn Seller n, c n upl n deli-r to the spe,• I dc. C atkn, (f,O,Ii Destrnal o n, -fight, prepaid and to F indr) drs I. Who u e p.rrO c pminc an rhr ps,kn a tcI of th A, eat r the app mni
l'aahle Nlmee of W"ll, and
added). Nul shmdi re the Ynep -n br t 0, f, t fl +,art w II taro w'tb I),, xpplicab d R Its, nw a c iahis ccd I kilo such Co nik-lal lnf „Halloo for hum of pruv di in¢ thy. P td, ,r Su,
d,a r e„nl.nnrel rn Ih m e Funs c it b"WCC+ >u,h n(s) xnd Custem... A p,,,d,, c mane, onl 'n,resl k ,r+n .nil this A -I or 1I,, gritl'cahh, Saac r rr of'W tin f i u rash I.ga€ ad fi
in, c': E 1 a-Pi rerdard in the PraJ„la r paya n Fill). I'„n, _Ili ,roes Seller to till, a fnancine.Iairmcrx rs.Ilecln nch or1 dcntnd t-r,. I:acl p.nty x r of o Cvnl J, r rat nf.r anti., of e "b" p f r pur(wx ether
sill Iola n xnd. if equ d. L emer WiE rvtorU s, el p ne,. ,cu nc n ns 6uoks- than the huriness purpws,s ,onh:m lit U 6y th'" :lgnc t,ud rl e' Ic State Went 1,E U'.rk_ I'po a o ,qn-
nCa puny. Ihe "fait, plat, ,+ill either"'on, nr cuxtfc III, dcstrn,livn al lire CVUljder,inl Enf -rnaf- nflhc.Ihcr p,rnv.
F'a+ rill
Olden, ore nr I b'rdill upon Seller until ae.,pled I„ Scllcr f. nslr Her agrus to pa} Ili,, nI. i p,a use I f r the Pralnclr Ifx ter F part) iv rapt ,d by law rule nr rcgulal nt oil ,d in Imv 1 d c 1 J rinistnt i, pro-ding or h)- In
rlus shippi,tb Il. (h, canal shipping's not pit plaid h, C„ ,'n,- nel,tehng hh'pp np 11,+1911 flat n c HIM to Scllcr is t I ,r ngul;a aullmr t+�_ It J echo., ttrrrf I 'ill Inlurl r tl u(Ihc otl 1 t). (hc t pan W If v Ill,
caeh of,w ng Cust- Ic rr roar n Ixr. "leans of 1-.— an •Illy Mill sole drs,reti.n_ In -i with d'sJu,i �e batty prompt r,sl Ihat 1 J l 1,l pally -k n n Opp I a ,le prr,t, cH,c r Oder filar
4rn s. horn performed pn, p sch .,i Ili a $latmnem M he a 11' A. CuHOmcr ,a ll pxY Iin Ihe S,, ranee, m Ill, a unl, nod in prt rcli„• nrx>urt "old ill ax E1, ,o of 1, tifor(s e+htain c: +I d fat Iry ,Her nt of till C'x rUCnl ill IrrGr. an,
o
o".- with a,y edule set finlln rn all 't"n
hlc Slaten,c nt 'If N:rrrk. II ill, p:rymcnl sc hxdulc is provlJnl. di =,InsuJ_
('ust„mer will pay 1111 tbe as in )oir,d 6, In +•,aces ore. dui nntl payahlc Within lh,'- inn, period spcerfitc or, the
urrd 1.- rile date of in-i- a,hjeet In conOrntri ng crelln .nppmvxl by Scllcr. Seller, nr anc
fill ,\ffiBaia a Re,orn Ii
b,h 6 S.IIn tray its 1,c an' I Ali,e I., usn+mer Seller al ill I, G_r,n, s Tnal,ly for pt uil ship nttn,, Ind seller E'er r,btain Sellt, ,turn .lily, I n- should -wolf I)1N I ns o ncr Relano n, l ,,i, Ar, d lln' ,d,l at
cr C'usl.Hier for all al the 1- ces dl in a Stn,,,ni of a or a, porn- Ihrreof rini -er n
p} N u3I
rcei CnJdP_ R I I r sA om_ C u.sf. r r, et nut ly ("I Ii., Cnsln we' Relar n
nS F' is itilrM I l d-1 ,.thin �t<n (r(l1
puyY ra o all pant doe BUmf xt Ihe one and on, -hull' pence I (I P!.) nu n until or th, h'iShen rat, aho W,J by da .[receipt.
10 III, c. nn[ A a pay n,rnl default. Cu,r. „ncr will he re,pun.ihlc Io, ull of Se31er's cos, of coh,•ctian, in.lredrng, bm nuI
t1 tl it f a,
.1.1 ,.x.17.. l lin_c ees Will I
n r' firn addilhrn, pay rnrnrs not rl ab
¢s Jes.rEbccl ove_ Scllcr le hh
,rarinn
r,.... thn tEt 1. auspcnd S1rxc.n Ol�l c is „rscd_ Any cIn d':pnte. Wh,rErr t c
for r+ ti +r -hi,l In, 1 cl l t rld
or.
n l fia_cr not hm' 1 0 la, tal t 'I quirks lnmsl err s of Iri m I
ni.uina I,
I:a)xr rl S.1, 1',oduc IIt, Scr „s, the rr elp,.i-nlo, r n apphcal inn it t thca, 'I 'Ill S,a
(2,nd ii„nr rcmenl ,l
r Wnrk r.r the
El dti l a ,xY n )af es x pan ,I 'it Il t relndr tr=_ hit nu; tin iod to ,p nm,d lies s, itw:nc 1,r lrchm I. rr h)e'c "I to hr,ac h' n trnr a al'd lv hvao., Il, r,I I hip hrch ,rill fora Oh,1, I,', a d C, „II any S vI
file I'., Ad n r rnri, o k i n,l s ,•spar cd I Ooe 1. ti,d S n,s h) Seller, a.,onlam•, wlh III, W' -rte ,l od'ng w r h, lull -k per niu,d h�, apt lien hl, I "la ussh ps ,.'d II i.d F ri,c_ loo a c x,lt nt
I„sp.n Ad rr s non k, �,r1 r1,. Dr „rs -fir, r, 1.Ci Nlm„la+ prohif`IWJ, her tai_ ,Sell,.., ol'us,Nllrl' :J, l p
nk,t, I�oElc,h „1. Cum" )11 11 -I. II RLU I. 1 11 1
1 Eir!
III; I:I.I C'IWN OF ANY OF SIA I it, CI SI Olt 3111' Iif] a, F: \l, If ES V V"I'VI Il- 1 \I'1 I SINFI 1N1)
H'x rrx td fie, ViN"I, I..}” It}' HI \D! \'C AItHFr11,\ I'fO II' ."Ino.t'ran ra eln nve ll. it ,rill l ,andn-I ll pnrsuam I< c Rile, „t the
Cusw per I'll, .d, Ilan NCll,r s Ili, S I C al he Iii-N p-hn -d h, Cuf uncr hemnad” and it,, "illy Amcric 1 t'I n A—— Wo birr,tiut a ,h,,,n h, I, .y )ill -J-, in n ll,' n
u,ffc rcA nro hr. ,till, nmlla,tr ncr „II, ,r„ 1H Ir,O, Ili n,h3sin Emd ts.l ,M,mg will h1,, Iw 'rlJO Ft I bm (I.um r 1,n, +In.J, ha il:un r p-, )rl.w Js.la
c oI s r t t
dun ,nI ,l ts sr„ 111 ,n,vnc rapt. mhcr el, pl -u pr.r+iJeJ Iwr 're 1 c appl t.l l arli a err I,+ oo +1 it p.r ,1 t, Inrll,
1h 9L,ri. rtprrs,nt �n_ Ili, ,dues 9ru i r, h� P-ij d by aJlrr or r, ART.11,. SCIAJI R AM 1TS vnld 1lLS nil h� thr r_hl I' I+a i r'pam .r, In va b,r Oran J:r_ of ebu nn ren prrtni ninq I1, :oa Ii la a rii
IR'REDI' 1 \f R115SE.1' I"IS"'I A"'I -1t .I' IllRAN 'I' I l c 1.111 HER IX111FJS OH INI pI,I F, O, Itlr.f.A ll'D 'ICS Nut rrl,F nA ,,howl of low prl, .r n,.3 I,rns. _IIf r Ili'. Iirr. i, hj,,: to
th 1,r n, -r'
I'ROI)I)( "I'S_ INt I_t'1ry Nti, IIUI \ill LII \II11.O IO_ AN1' \1�r111H,1 \f1' S)F �I'I (11:. hl C1:Hv1C1, the F'rJ, d the, "n :c'r'
w,a,,,.r '.i „+b.. .fi._,. :'9i•.' .a
..NIEHCI to "I'n l'iH.ItF'Oli I I I�N FSS IOlL ,1 Pr1 R'31CLP_,1R Ptlunn ._,a�
City o INDIANA RETAIL TAX EXEMPT
PAGE
f C Bane l CERTIFICATE NO. 003120155 002 0 �1�. PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AIP
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
SHIP j
VENDOR I� ✓nG%+,h�,;1; .�L TO rfrsr�
�irp. >rr�
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
n
z�
Send Invoice To: ry i f
>.�ti r. lr IL:/ 1., t'i 3 �4rl+kr•^ F'�^'
s EJ
f r
f C, PLEASE INVOICE IN DUPLICATE 1� x-
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
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
SHIP REPAID.
THIS APPROPRIATION SUFFICIENTTO PAY FOR THE ABOVE ORDER.
'y
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. J] f
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 7 r't a.
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. r
4, CLERK- TREASURER
DOCUMENT CONTROL NO. A COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. "WARRANT NO.
1 ALLOWED 20
gt✓� 6 U IN THE SUM OF
ON ACCOUNT CCOUNT OF APPROPRIATION FOR
Lr
Board Members
PO# or INVOICE NO. ACCT# /TITLE AMOUNT
DEPT. I hereby certify that the attached invoic or
oo 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_ /tom. I
A f igna e
G 7,►
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund