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HomeMy WebLinkAbout189757 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 075011 Page 1 of 1 f ONE CIVIC SQUARE DIXON PHONE PLACE CARMEL, INDIANA 46032 5335 N TACOMA AVE SUITE 3 CHECK AMOUNT: $255.00 INDIANAPOLIS IN 46220 CHECK NUMBER: 189757 CHECK DATE: 9/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4464000 27000 44510 255.00 HEADSET DIXON PHONE PLACE I nvoice 5335 N. TACOMA AVENUE, SUITE 3 INDIANAPOLIS, IN 46220 (317) 251 -3504 8/26/2010 44510 City of Carmel City of Carmel Police Dept. Attn: Teresa Anderson Attn. Lt. Tim Zellers 3 Civic Hall 3 Civic Suare Carmel, IN 46032 Carmel, IN 46032 P.O.-NUMBER- j�WMI;hTIM 27000 i Net 30 1 SF1 8/26/2010 our truck DESCRIP 1 CS55 Plantronics Wireless Headset 195.00 195.00 1 #72910 -01 CS70N replacement headset w/ earbuds 60.00 60.00 i i E i 4 1 f i f I I 1 Dixon Phone Place holds a security interest in TOTAL $255.00 this property unt paid fo INDIANA RETAIL TAX EXEMPT PAGE l`" i j A o f Carme CERfiFICATE N0. 003120155 002 0 PURCHASE ORDER NUMBER; Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 3CIVIC SOUARE 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 DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 1& 2010 1padeet �II Iw' VE Dixon Phone Place T OHIP City of Carmel Police Department .5335 N. Tacoma AVenue., #3 3 Civic Squares Indianapolis,, IN 46220 Carmel, IN 46032 ATTN: Juli Fritsch ATTN: Lt. Tim Zellers CONFIRMATION BLANKET CONTRACT. PAYMENTTERMS. FREIGHT pp QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 1 CS55 Plantronics Wireless headset 195.00 1 HL -10 Handset lifter 60.00 rt 6 •,rr L`r tr- ,5 i. �'t. .t t� "t SvS, .,t; Y. t r r 4, x Send Invoice To C13#70f Ca mel PoliorDBpr� C ATTN: Teresa Anderson" 3 Civic Square k- Carm&I JIN 46032 e.,. PLEASE INVOICE IN DUP -ICATE 255.00 DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT 1110 640 office equipment 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 A 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, 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 Chief of Po�� AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO. 2 7 0 O 0 A.P .V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO._ ALLOWED 20 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 2Q 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 Dixon Phone Place Purchase Order No. 27000F 5335 N. Tacoma Avenue, Suite 3 Terms Indianapolis, IN 46220 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 8/26/10 44510 payTent for headset and earbuds 255.00 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 Dix Phone Place IN SUM OF 5335 N. Tacoma Avenue, Suite 3 Indianapolis, IN 46220 255.00 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO4 or DEPT INVOICE NO, ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or 27000F 44510 640 255.00 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 August 31 20 10 1 F Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund