186205 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 00352419 Page 1 of 1
ONE CIVIC SQUARE BELL TECHLOGIX INC CHECK AMOUNT: $13,601.83
CARMEL, INDIANA 46032 PO BOX 823342
PHILADELPHIA PA 19182 -3342 CHECK NUMBER: 186205
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4463201 21755 3,500.21 DESKTOP COMPUTERS
1202 4463201 BI283564 50.50 HARDWARE
1202 4463201 21754 BI285194 -1,824.83 DESKTOP COMPUTER
1202 4463201 21753 BI285195 X3,500.21 DESKTOP COMPUTER -LAN
1207 4463201 BI285620 (4,726.08 HARDWARE
Tech I ®g l
Focused• Skilled- Reliable ^Ql PAGE: 1
REMIT TO:� INVOICE: B I ^8 564
BELL TECHLOG I X INC aCE1 INVOICE DATE: 04/0
a
F' e O o BOX 8'?334 t DUE DATE: i 5 0 10
F'H I L`ADELF'H I A F'A 19132—
'17- -104 --6000 TERMS: Net 30
866 -78� -2355 Net 30 Days
SHIP TO: BILL TO: 12_01B
City of Carmel CITY OF CARMEL
`mil Civic Square ONE CIVIC SQUARE
Carmel IN 46032 ATTN: ACCOUNTS PAYABLE.
CA RMEL 1N 460.` i`2,
U SA
ORDER: 667 73 0
ORDER DATE: C)
CUSTOMER P.O.: 2175 5 2.175
CARRIER:
FREIGHTTERMS:
METHOD:
TRANSPORTATION ID:
SALESPERSON: {SETH, SCL-1WARTZBACH
CURRENCY: United State; Dollars
s
City of C�-Yr
_ferry Crockett
Cult PO Num a 21.755-21753
Contact name. Terry Crockett
Phone.- X17, x'567 >c
Email.- tr-rockett@carmel.i.n.gov
BELL_ SO 6677" 200841.95
I. U79 34E EA 50.50
a
4YR UF'G WARR ONSITE NBD 9X5 25.25 EA
MID—RANGE MON I TORS 17 --19I N LCD
FAST DUE ACCOUNTS CARRY INTEREST AT THE
LESSER OF 1.5% PER MONTH OR THE
MAXIMUM LEGAL RATE IN THE JURISDICTION
IN WHICH THE CUSTOMER'S PRINCIPAL PLACE
OF DUS I NEE13S 'IS LOCATED 0/
ALL DELIVERY TERMS ARE F.O.B. ORIGIN
TO REQUEST A STATEMENT OF ACCOUNT PLEASE
CONTACT 866 -792 355 EXT 56817
FEDERAL TAX ID# 26- 368= 994
JUN 0 7 2010
.FOR SERVICE CALL 1 -800- 999 -9813
By
FREIGHT CHARGE: 0.
GROSS AMOUNT: 5t3. y�t:a
INVOICE DISCOUNT: tea o i
NET AMOUNT: 50. 50
TAX AMOUNT: C) or)
DOWN PAYMENT: 0 00
NET AMOUNT DUE: 5 50
ORIGINAL
MITe h log ix
PAGE: 1
Focused- Skilled Reliable INVOICE: B I 285196
REMIT TO:
BELL TECHLOGIX INC INVOICE DATE: 0 5 13 10
P.O. BOX 823342 DUEDATE:06 /12/10
PHILADELPHIA PA 19182 -3342 TERMS: Net 30
317 -704 -6000 Net 30 Days
866 782 --2355 Y
SHIP TO: BILL TO: 1201825
Street Department CITY OF CARMEL
3 Civic Square ONE CIVIC SQUARE
attn: Terry Crockett ATTN: ACCOUNTS PAYABLE
Carmel IN 46032 CARMEL IN 46032
USA
ORDER: 667695
ORDER DATE: 0 3 31 10
CUSTOMER P.O.: 217 5 5
CARRIER:
_FRErGMrSF_RAA$: FREIGHT CHARGE 121
METHOD: FEDERAL EXPRESS ECONOMY
TRANSPORTATION ID:
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: United States Dollars
NET AMOUNT
DESCRIPTION
Street Department
Terry Crockett
Cust PO Num: 21755
Contact name: Terry Crockett
Phone: 3175712567x
Email: tcrockett @carmel.in.gov
prices are based on WSCA II contract pr
racing or better
BELL SO 667695 20084173
1 NV567UT4ABA 3 EA 1,627.71
PRO 3000 MICROTOWER E6300 2.8G 542.57 EA
2GB 106GB DVDRW W7P /XPP
Line Lot /Serial Details:
MXL0110WNR EA 1
MXL0110WNW EA 1
MXL0110WP4 EA 1
2 AR629AA 3 EA 145.29
DISK DRIVE -DVD- ROM- 48X/16X 48.43 EA
3 U4854PE 3 EA 246.87
lYR POST WARR NBD ONSITE 9X5 82.29 EA
FOR LE -DT CPU
4 BE75OG 3 EA 258.60
APC BACK -UPS ES 750VA 10OUT 86.20 EA
120 VOLT MASTER CONTROL
5 ISR- 760 -0007 3 EA 63.00
HARDWARE CONFIGURATION 21.00 EA
6 U6576E 3 EA 172.68
ELECTRONIC HP CARE PACK NEXT B 57.56 EA
EXTENDED SERVICE AGREEMENT P
7 ISR -760 -0004 3 EA 54.00
IMAGING DESKTOP 18.00 EA
FREIGHT CHARGE:
GROSS AMOUNT:
INVOICE DISCOUNT:
MET AMOUNT:
TAX AMOUNT: U
4
NET DOWN JUN O 7 2010
By
Techlogix PAGE:2
Focused Skilled Reliable INVOICE: BI 2 8 519 6
REMIT TO:
BELL TECHLOGIX INC INVOICE DATE: 05 13 10
P.O. BOX 823342 DUEDATE:06 /12/10
PHILADELPHIA PA 19182-3342 TERMS: Net 3 0
317 704 -6000 s Net 30 Days
Y
SHIP TO: BILL TO: 1201825
Street Department CITY OF CARMEL
3 Civic Square ONE CIVIC SQUARE
attn: Terry Crockett ATTN: ACCOUNTS PAYABLE
Carmel IN 46032 CARMEL IN 46032
USA
ORDER: 667695
ORDER DATE: 03 /3 1/ 10
CUSTOMER P.O.: 217 5 5
CARRIER:
FRFtr,N.,T_Tf�Rdy!G: F.D -EIGHT CHARGE 121
METHOD: FEDERAL EXPRESS ECONOMY
TRANSPORTATION ID:
SALESPERSON: SETH SCH[nWARTZBACH
CURRENCY: United States Dollars
DESCRIPTION NET A MOUNT
8 NQ576AT 3 EA 44.55
HP LCD SPEAKER BAR 14.85 EA
SPEAKER
9 U7934E 3 EA 75.75
4YR UPG WARR ONSITE NBD 9X5 25.25 EA
MID -RANGE MONITORS 17 -19IN LCD
10 KS505AA 1 EA 130.23
ATI RADEON HD 3650 130.23 EA
GRAPHICS ADAPTER RADEON HD 3
11 DC141B 3 EA 115.05
1.44MB USE FLOPPY DRIVE D220 D 38.35 EA
330 D325 D530 CARBONITE
12 NK570A8 #ABA 4 EA 566.48
LE1901W 19IN WIDE LCD MON -SBY 141.62 EA
Line Lot /Serial Details:
3CQ9394QY1 EA 1
3CQ9394R1L EA 1
3CQ9394R1M EA 1
3CQ9394R70 EA 1
PAST DUE ACCOUNTS CARRY INTEREST AT THE
LESSER OF 1.5% PER MONTH OR THE
MAXIMUM LEGAL RATE IN THE JURISDICTION
IN WHICH THE CUSTOMER'S PRINCIPAL PLACE
OF BUSINESS IS LOCATED
ALL DELIVERY TERMS ARE F.O.B. ORIGIN
TO REQUEST A STATEMENT OF ACCOUNT PLEASE
CONTACT 866 782 -2355 EXT 56817
FEDERAL TAX ID# 26- 3683994
FOR SERVICE CALL 1- 800 -999 -9813
FREIGHT CHARGE: 0.00
GROSS AMOUNT: 3,500.21
INVOICE DISCOUNT: 0.00
NET AMOUNT: 3,500.21
TAX AMOUNT: 0.00
DOWN PAYMENT: 0.00
NET AMOUNT DUE: 3,500.21
Techlogix
PAGE: 1
Focused• Skilled- Reliable INVOICE: BI 285194
REMIT TO:
BELL TECHLOGIX INC INVOICE DATE: 0 5 13 10
P.O. BOX 823342 DUE DATE: 06 /12/10
PHILADELPHIA PA 19182 -3342 TERMS: Net 30
317- 704 -6000
866- 782 -2355 Net 30 Days
SHIP TO: BILL TO: 1201825
City of 'Carmel CITY OF CARMEL
3 Civic Square ONE CIVIC SQUARE
attn: terry crockett ATTN: ACCOUNTS PAYABLE
Carmel IN 46032 CARMEL IN 46032
USA
ORDER: 667689
ORDER DATE: 03/31/10
CUSTOMER P.O.: 217 5 4
CARRIER:
FREIGHT TERMS: FREIGHT CHARGE 3.21
METHOD: FEDERAL EXPRESS ECONOMY
TRANSPORTATION ID:
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: United States Dollars
UNIT PRICE NET AMOUNT
C i ty ok Carme
Terry Crockett
Cust PO Num: 21754
Contact name: Terry Crockett
Phone: 3175712567x
Email: tcrockett@carmel.in.gov
BELL SO 667689 20084172
1 NV470UT$#ABA 1 EA 778.48
COMPAQ 6000 PRO MICRO TOWER 778.48 EA
1 X CORE 2 DUO E8500
Line Lot /Serial Details:
2UA00801K3 EA 1
2 U7896E 1 EA 81.65
UPG WARR CPE 4Y NXTDAY HE -DT 3 81.65 EA
/3/3 STD WARR
3 DC141B 1 EA 38.49
1.44MB USB FLOPPY DRIVE D220 D 38.49 EA
330 D325 D530 CARBONITE
4 NL773A8 #.ABA 2 EA 712.00
HP COMPAQ LA2405WG LCD DISPLAY 356.00 EA
TFT 24IN WIDESCREEN VGA
Line Lot /Serial Details:
CN40040D3M EA 1
CN4004OD32 EA 1
5 U7936E 2 EA 66.14
ELECTRONIC HP CARE PACK NEXT B 33.07 EA
EXTENDED SERVICE AGREEMENT P
6 BE75OG 1 EA 86.20
APC BACK -UPS ES 750VA 10OUT 86.20 EA
120 VOLT MASTER CONTROL
7 AH047AA 1 EA 47.00
DVDROM 16X SATA 5.25HH DC5700 47.00 EA
FREIGHT CHARGE:
GROSS AMOUNT:
INVOICE DISCOUNT:
NET AMOUNT:
TAX AMOUNT: Q
CJ DOWN PAYMENT:
NET AMOUNT DUE: J O 7 2010
f BY
M
Tech log ix
PAGE: 2
Focused• Skilled- Reliable INVOICE: BI 285194
REMIT TO:
BELL TECHLOGIX INC INVOICE DATE: 05/13/10
P.O. BOX 823342 DUEDATE:06 /12/10
PHILADELPHIA PA 19182 -3342 TERMS:
317- 704 -6000 Net 30
866 782 -2355 Net 30 Days
SHIP TO: BILL TO: 1201825
City of Carmel CITY OF CARMEL
3 Civic Square ONE CIVIC SQUARE
attn: terry crockett ATTN: ACCOUNTS PAYABLE
Carmel IN 46032 CARMEL IN 46032
USA
ORDER: 667689
ORDER DATE: 03 /31/10
CUSTOMER P.O.: 217 5 4
CARRIER:
FREIGHT TERMS: FREIGHT CHARGE 1.21
METHOD: FEDERAL EXPRESS ECONOMY
TRANSPORTATION ID:
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: United States Dollars
DX5750 DC7700
8 NQ576AT 1 EA 14.85
HP LCD SPEAKER BAR 14.85 EA
SPEAKER
9 ISR- 760 -0004 1 EA .01
IMAGING DESKTOP .01 EA
10 ISR -760 -0007 1 EA .01
HARDWARE CONFIGURATION .01 EA
PAST DUE ACCOUNTS CARRY INTEREST AT THE
LESSER OF 1.51 PER MONTH OR THE
MAXIMUM LEGAL RATE IN THE JURISDICTION
IN WHICH THE CUSTOMER'S PRINCIPAL PLACE
OF BUSINESS IS LOCATED
ALL DELIVERY TERMS ARE F.O.B. ORIGIN
TO REQUEST A STATEMENT OF ACCOUNT PLEASE
CONTACT 866 782 -2355 EXT 56817
FEDERAL TAX ID# 26- 3683994
FOR SERVICE CALL 1 -800 -999 -9813
FREIGHT CHARGE: 0. 00
GROSS AMOUNT: 1,824.83
INVOICE DISCOUNT: 0.00
NET AMOUNT: 1,824.83
TAX AMOUNT: 0.00
DOWN PAYMENT: 0 00
NET AMOUNT DUE: 1,824.83
ED M� Techlogix
PAGE: 1
Focused -Skilled Reliable INVOICE: B I 285195
REMIT TO:
BELL TECHLOGIX INC INVOICE DATE: 0 5 13 10
P.O. BOX 823342 DUEDATE:06 /12/10
PHILADELPHIA PA 19182 -3342 TERMS: Net 30
317 704 -6000 s Net 30 Days
Y
SHIP TO: BILL TO: 1201825
Street Department CITY OF CARMEL
3 Civic Square ONE CIVIC SQUARE
attn: Terry Crockett ATTN: ACCOUNTS PAYABLE
Carmel IN 46032 CARMEL IN 46032
USA
ORDER: 667694
ORDER DATE: 03 /3 1/ 10
CUSTOMER P.O.: 217 5 3
CARRIER:
FREiGHTTERMS:.FREIGHT CHARGE 121
METHOD: FEDERAL EXPRESS ECONOMY
TRANSPORTATION ID:
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: United States Dollars
NET DESCRIP AM
Street Department
Terry Crockett
Cust PO Num: 21753
Contact name: Terry Crockett
Phone: 3175712567x
Email: tcrockettCcarmel.in.gov
prices are based on WSCA II contract pr
racing or better
BELL SO 667694 20084175
1 NV567UT #ABA 3 EA 1,627.71
PRO 3000 MICROTOWER E6300 2.8G 542.57 EA
2GB 106GB DVDRW W7P /XPP
Line Lot /Serial Details:
MXL0110WNZ EA 1
MXL0110WN5 EA 1
MXL0110WPR EA 1
2 AR629AA 3 EA 145.29
DISK DRIVE -DVD- ROM- 48X/16X 4.8.43 EA
3 U4854PE 3 EA 246.87
1YR POST WARR NBD ONSITE 9X5 82.29 EA
FOR LE -DT CPU
4 BE750G 3 EA 258.60
APC BACK -UPS ES 750VA 10OUT 86.20 EA
120 VOLT MASTER CONTROL
5 ISR- 760 -0007 3 EA 63.00
HARDWARE CONFIGURATION 21.00 EA
6 U6578E 3 EA 172.68
ELECTRONIC HP CARE PACK NEXT B 57.56 EA
EXTENDED SERVICE AGREEMENT P
7 ISR- 760 -0004 3 EA 54.00
IMAGING DESKTOP 18.00 EA
FREIGHT CHARGE:
J GROSS AMOUNT:
INVOICE DISCOUNT:
NET AMOUNT:
TAX AMOUNT:
1 DOWN PAYMENT:
NET AMOUNT DUE: f
6 JUN 0 7 2010
3
0 By
NO Techlogix
PAGE: 2
Focused Skilled Reliable INVOICE: B I 285195
REMIT TO:
BELL TECHLOGIX INC INVOICE DATE: 0 5 13 10
P.O. BOX 823342 DUEDATE: 06 /12/10
PHILADELPHIA PA 19182 -3342 TERMS: Net 30
317 704 -6000 s Net 30 Days
Y
SHIP TO: BILL TO: 1201825
Street Department CITY OF CARMEL
3 Civic Square ONE CIVIC SQUARE
attn: Terry Crockett ATTN: ACCOUNTS PAYABLE
Carmel IN 46032 CARMEL IN 46032
USA
ORDER: 667694
ORDERDATE:03 /31/10
CUSTOMER P.O.: 217 5 3
CARRIER:
FROGHT TERrt4S: FREIGHT CHARGE 121
METHOD: FEDERAL EXPRESS ECONOMY
TRANSPORTATION ID:
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: United States Dollars
DESCRIPTION NET AMOUNT
8 NQ576AT 3 EA 44.55
HP LCD SPEAKER BAR 14.85 EA
SPEAKER
9 U7934E 3 EA 75.75
4YR UPG WARR ONSITE NBD 9X5 25.25 EA
MID -RANGE MONITORS 17 -19IN LCD
10 KS505AA 1 EA 130.23
ATI RADEON HD 3650 130.23 EA
GRAPHICS ADAPTER RADEON HD 3
11 DC141B 3 EA 115.05
1.44MB USE FLOPPY DRIVE D220 D 38.35 EA
330 D325 D530 CARBONITE
12 NK570A8 #ABA 4 EA 566.48
LE1901W 19IN WIDE LCD MON -SBY 141.62 EA
Line Lot /Serial Details:
3CQ9394QGG EA 1
3CQ9394RFX EA 1
3CQ9394RG6 EA 1
3CQ9394RIS EA 1
PAST DUE ACCOUNTS CARRY INTEREST AT THE
LESSER OF 1.5% PER MONTH OR THE
MAXIMUM LEGAL RATE IN THE JURISDICTION
IN WHICH THE CUSTOMER'S PRINCIPAL PLACE
OF BUSINESS IS LOCATED
ALL DELIVERY TERMS ARE F.O.B. ORIGIN
TO REQUEST A STATEMENT OF ACCOUNT PLEASE
CONTACT 866 782 -2355 EXT 56817
FEDERAL TAX ID# 26- 3683994
FOR SERVICE CALL 1- 800 -999 -9813
FREIGHT CHARGE: 0.00
GROSS AMOUNT: 3,500.21
INVOICE DISCOUNT: 0.00
NET AMOUNT: 3,500.21
TAX AMOUNT: 0.00
DOWN PAYMENT: 0.00
NET AMOUNT DUE: 3,500.21
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bell` Techlogix
IN SUM OF
PO Box 823342
Philadelphia, PA 19182 -33242
$8,875.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel IS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1202 BI 283564 44- 632.01 $50.50 1 hereby certify that the attached invoice(s), or
175-3 BI 285195 44- 632.01 $3,500.21 bill(s) is (are) true and correct and that the
?—1 754 I 51 285194 44- 632.01 I $1,824.83
materials or services itemized thereon for
Zl`755 I 81285196 44- 632.01 I $3,500.21
which charge is made were ordered and
received except
Monday, June 07, 2010
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 invoice(s) or bill(s))
04/02/10 B1283564 $50.50
05/13/10 61285195 $3,500.21
05/13/10 61285194 $1,824.83
05/13/10 61285196 $3,500.21
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
101ITe hlogix
PAGE: 2
Focused Skilled Relioble INVOICE: BI 285620
REMIT TO:
BELL TECHLOGIX INC INVOICE DATE: 0 5 2 4 10
P.O. BOX 823342 DUEDATE:06 /23/10
PHILADELPHIA PA 19182 -3342 TERMS:
317 -704 -6000 Net 30
866- 782 -2355 Net 30 Days
SHIP TO: BILL TO: 1201825
Brookshire Golf Club CITY OF CARMEL
12120 Brookshire Parkway ONE CIVIC SQUARE
attn: Pamela Lister ATTN: ACCOUNTS PAYABLE
Carmel IN 46033 CARMEL IN 46032
USA
ORDER: 668955
nRnFR. DATE 0 5 10 /1 0
CUSTOMER P.O.: 2 0 6 8 5
CARRIER:
FREIGHT TERMS: FREIGHT CHARGE 121
METHOD: FEDERAL EXPRESS ECONOMY
TRANSPORTATION ID:
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: United States Dollars
DESCRIPTION
3CQ01409L3 EA 1
3CQ01409L9 EA 1
6 NQ576AT 6 EA 91.86
HP LCD SPEAKER BAR 15.31 EA
SPEAKER
wwwww *ww *wwwwwwwwww *w *wwwww *w *w *w *www*
PAST DUE ACCOUNTS CARRY INTEREST AT THE
LESSER OF l.So PER MONTH OR THE
MAXIMUM LEGAL RATE IN THE JURISDICTION
IN WHICH THE CUSTOMER'S PRINCIPAL PLACE
OF BUSINESS IS LOCATED
wwwwwwwwwwwwww *wwwwwwwwwwwwwwwwwww *,www
ALL DELIVERY TERMS ARE F.O.B. ORIGIN
wwwww wwwwwwwww *www wwwww *ww wwwwwwwwwwwww
TO REQUEST A STATEMENT OF ACCOUNT PLEASE
CONTACT 866- 782 -2355 EXT 56817
wwwwwwwww *www *wwwwwwwwwwww *wwwwwwwww www
FEDERAL TAX IDS$ 26- 3683994
wwwwwwww *www *wwwww wwwwwwwwwwwwwwww *www
FOR SERVICE CALL 1- 800 999 -9813
FREIGHT CHARGE: 0.00
GROSS AMOUNT: 4,726.08
INVOICE DISCOUNT: 0.00
NET AMOUNT: 4,726.08
TAX AMOUNT: 0.00
DOWN PAYMENT: 0.00
NET AMOUNT DUE: 4,726.08
i
PAGE: 1
Focused Skilled- Reliable INVOICE: BI 285620
REMIT TO:
BELL TECHLOGIX INC INVOICE DATE: 0 5 24 10
P.O. BOX 823342 DUEDATE:06 /23/10
PHILADELPHIA PA 19182 -3342 TERMS: Net 30
317- 704 -6000
866 -782 -2355 Net 30 Days
SHIP TO: BILL TO: 1201825
Brookshire Golf Club CITY OF CARMEL
12120 Brookshire Parkway ONE CIVIC SQUARE
attn: Pamela Lister ATTN: ACCOUNTS PAYABLE
Carmel IN 46033 CARMEL IN 46032
USA
ORDER: 668955
ORDER DATE: 0 5 10 10
CUSTOMER P.O.: 2.0 6 8 5
CARRIER:
FREIGHT TERMS: FREIGHT CHARGE 121
METHOD: FEDERAL EXPRESS ECONOMY
TRANSPORTATION ID:
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: United States Dollars
NET AMOUNT
DESC
Broo s ire Go C u
Pamela Lister
Cust PO Num: 20685
Contact name: Terry Crockett
Phone: 3175712567x
Email: tcrockett @carmel.in.gov
Prices are based on WSCA II contract pr
ricing or better
BELL SO 668955 20084989
1 NV567UT #ABA 6 EA 3,255.42
PRO 3000 MICROTOWER E6300 2.8G 542.57 EA
2GB 106GB DVDRW W7P /XPP
Line Lot /Serial Details:
2UA01609FR EA 1
2UA016093Q EA 1
2UA016096P EA 1
2UA016097L EA 1
2UA016097Y EA 1
2UA016098K EA 1
2 AR629AA 6 EA 290.58
DISK DRIVE -DVD- ROM- 48X/16X 48.43 EA
3 ISR- 760 -0007 6 EA 168.00
HARDWARE CONFIGURATION 28.00 EA
4 ISR- 760 -0004 6 EA 84.00
IMAGING DESKTOP 14.00 EA
5 NK570A8 #ABA 6 EA 836.22
LE1901W 19LN WIDE LCD MON -SBY 139.37 EA
Line Lot /Serial Details:
3CQ0140CVP EA 1
3CQ0140DBM EA 1
3CQ01409JV EA 1
3CQ01409JZ EA 1
FREIGHT CHARGE:
GROSS AMOUNT:
INVOICE DISCOUNT:
NET AMOUNT:
TAX AMOUNT:
DOWN PAYMENT:
NET AMOUNT DUE:
Cl 0 INDIANA RETAIL TAX EXEMPT PAGE
Ay of anal CERTIFICATE NO. 003120155 002 0
�5.� �1,�•/ CSJS 1i PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 20
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO DESCRIPTION
15J� SSI,t� L.�I lac:)Jfic� �'✓r�f 7" Gt
VENDOR SHIP G 7 '�Ci.� ff
6) TO /off lj
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
21
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
:8 P7 9 1 72,
6 9
Ole
15 A
4
g
�r
Send Invoice To: '7 �I
q
Lo
(J
L 16 0
PLEASE INVOICE IN DUPLICATE <446,, 171
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
7 ,2C6 A PAYMENT �'7 4 Z
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLE�S 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 THATTHERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATIONSUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. d
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. h
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASORER
A. COPY -SIGN AND RETURN TO CLERK'S OFFICE
NT CONTROL NO.
VOUCHER NO. WARRANT NO._
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF AP PROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #1TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
261 --117a( bill(s) is (are) true and correct and that the
jO 3 materials or services itemized thereon for
which charge is made were ordered and
received except__
20 _LC�
ignatur
Tit e
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
I