HomeMy WebLinkAbout183895 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 363989 Page 1 of 1
ONE CIVIC SQUARE OLYMPUS IMAGING AMERICA, INC
CARMEL, INDIANA 46032 3500 CORPORATE PARKWAY CHECK AMOUNT: $119.99
PO BOX 610
ON CHECK NUMBER: 183895
CENTER VALLEY PA 18034 -0160
CHECK DATE: 3/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4464000 21858 032410 119.99 SOFTWARE
INVOICE
Date: March 24, 2010
Sold to: City of Carmel Police Department
3 Civic Square
Carmel, W 46032
DSS Player Replacement Transcription software for AS -2400 $119.99
Please make check payable to:
Olympus Imaging America, Inc.
3500 Corporate Parkway
P.O. Box 610
Center Valley, PA 18034 -0160
ATTN: Olympus Store Tax Exempt
INDIANA RETAIL TAX EXEMPT PAGE
C i t y O fl �l 1\ a' ;rmel CERTIFICATE NO.003120155 002 0 1 of 1
WS11 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 21858
3-ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
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
?-arch 18, 2010 software
VENDOR Olympus Imaging America, Zi nc. SHIP City of Card Police Department
3500 Corporate Parkway To 3 Civic Square
P.O. Box 610 Carmel, IN 46032
Center Valley, PA 18034- 0160 ATTN: Mayor Luckie Carey
CONFIRMATION N I;T CO;Tpnl7 Ore T xe AWENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
12 147687 DSS Player Replacement Trauncription software 119.99
for AS02400
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City of Carmel PO r o'_ r,, ®G
Send Invoice To: ATTN: Teresa Anders
3 Civic Square J'
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PRO rr JECT PROJECT ACCOUNT AMOUNT
1110 640 office equipment d1�, PA /PVOENT
f rA 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 CERTIFYJT�HATTHERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAYE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Ass tant Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
M o U CLERK- TREASURER
DOCUMENT CONTROL NO. A.P. COPY SIGN AND R&bRN TO CLERK'S OF=FICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
r
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
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 it
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
Olympus Imaging America, Inc. Purchase Order No, 21858F
3500 Corporate Parkway
P .O. Box 610 Terms
Center Valley, PA 18034 -0160
ATTN: Olympus Store Tax Exempt Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/24/10
Roftware
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. WARRANT NO.
r
ALLOWED 20
Ol ympus Imaging America, Inc. IN SUM OF
3500 Corporate Parkway
P.O. Box 610
Center Valley, PA 1 03 —01
ATTN: Olympus Store Tax Exempt
119.99
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby y
DEPT. y certif that the attached invoice( s or
21858F 640 119.99 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
Z
A
March 24 20 10
4
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund