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187814 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 353753 Page 1 of 1 ONE CIVIC SQUARE GENERAL DYNAMICS ITRONIX O CARMEL, INDIANA 46032 PO BOX 201451 CHECK AMOUNT: $665.00 DALLAS TX 75320 -1451 CHECK NUMBER: 187814 CHECK DATE: 7/21/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 900 4359017 21872 927190 665.00 POWER SUPPLY GENERAL DYNAMICS INVOICE Itoni Invoice Invoice Date., Page'; MAIL PAYMENTS ONLY TO: 927190 7/8/2010 1 12825 E. Mirabeau Parkway Spokane Valley, WA 99216 GENERAL DYNAMICS ITRONIX CORPORATION 509.624.6600 P.O. BOX 201451 DALLAS, TX 75320.1451 Bill To: Ship To: CARMEL POLICE DEPT, CITY OF CARMEL CLAY COMMUNICATIONS ATTN: TERESA ANDERSON ATTN: TODD LUCKOSKI THREE CIVIC SQUARE 31 1ST AVENUE NW CARMEL, IN 46032 CARMEL, IN 46032 US C K CDSTOMER 8 N F.O.', r NET 30 DAYS SURFACE FACTORY ,ry`ORDERED +P;�'t,n. 5.� SAl,.E9RE!?RESENFAI7VB,_�.,t v zORDERDATE• DER CUSTOMER •iCUSTOMERID-� KH DOUG HOFFMANN 7/812010 203004 22808 Pl, 3�,. LN 'DL ORDERED u SHIPPED "pARTlDENTIFIER '��"'.t '3" 'LCOMMENTS UNiT UNn'PRICE E.xTENDED PRICE „.3 01 01 10.00 10.00 10- INVOICE MISCELLANEOUS EA 66.5000 665.00 50-0141-004R VEH ADP,10- 32V/18.5V,90W VEHICLE POWER SUPPLY 90watt GOBOOK XR -1 TO BILL FOR ADAPTORS SHIPPED iN APRIL 2010 NOT PREVIOUSLY BILLED RE SO lAN ITEM TOTALS, ''OIS `WUNT�'�. xk i.63 SUB TOTg4,. Irv+k' FREIGHT ,INVOICE TOTAL t 4 R, "`w`.,5...�,� �v.` C.�'� ns, 4. .,.c 665.00 0.00 665.00 0.00 0.0 0.00 0.00 665.00 This Order was accepted, shipped and is being invoiced based upon the General Dynamics Itronix standard terms and conditions of sale as posted on its website: http://www.gd-itronix.comt. INDIANA RETAIL TAX EXEMPT PAGE Ci C arme l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 21872 35= 60000972 E N &CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL,`INDIANA 45032 -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 Aril 1 2010 power supply VENDOR General Dynamics Itroniz SHIP Carmel Clay COmmunicallons Center TO 31 1st. Avenue NW Carmel, IN 46032 ATTN: Todd Luckoski CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 10 50- 0141 -•004N Vehicle Power Supply 90watt 66,50 665000 (Gobook XR -1) t a City of Carmel Po c:e Send Invoice To: ATTN: Teresa Anders 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 900 590 -17 mobile laptop up8rad, PAYMENT �}r 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 SUFFICIENT TO PAY FOR THE ABOVE ORDER. A C.O.D. SHIPMENTS CANNOT BE ACCEPTED. F h+q PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY r r 1 ll�� rT S �I SHIPPING LABELS. 1 THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief Of P AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2 7 CLERK TREASURER DOCUMENT CONTROL NO. A• COPY SIGN AND RETURN TO CLERIC'S OFFICE VOUCHER NO,-- WARRANT NO_ ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members EP or INVOICE NO. ACCT #/TITLE AMOUNT �EI=T. 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 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 General Dynamics ltronix Corporation Purchase Order No. 21872E P.O. Box 201451 Terms Dallas, TX 75320 -1451 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 7/8/10 927190 payment for power supplies 665.00 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. ALLOWED 20 General Dynamics Itronix Corporation IN SUM OF P.O. Box 201451 Dallas, TX 75320 -1451 665.00 ON ACCOUNT OF APPROPRIATION FOR police grant fund Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 21872F 927190 590 --17 665.00 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 July 13 20 10 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund