189877 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 178624 Page 1 of 1
0 4 i ONE CIVIC SQUARE KUSTOM SIGNALS, INC CHECK AMOUNT: $248.98
CARMEL, INDIANA 46032 PO BOX 411882
ATTN ACCTS REC CHECK NUMBER: 189877
KANSAS CITY MO 64141-1582
CHECK DATE: 9!1412010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 27017 424965 248.98 REPAIRS
Invoice Number 424965
Invoice
KUSTOM SIGNALS INC. Customer Copy
REMIT TO Invoice Date 09/01/10
A PUBLIC SAFETY EQUIPMENT COMPANY s Customer Number 16673
1010 W. Chestnut P.O. Box 947 KUSTOMZIGNALS INC
Chanute, KS 66720 0947 PO BOX 4,11882 Order Number 163389 SR
(620) 431 -2700 Fax (620) 431 -2734 KANSAS CITY, MO 64141, =,1882 Customer PO 27017
SOLD TO Page 1 of 1
CARMEL POLICE DEPT SHIP TO
POLICE DEPT HDQTRS CARMEL POLICE DEPT
3 CIVIC SQUARE POLICE DEPT HDQTRS
CARMEL IN 46032 3 CIVIC SQUARE
CARMEL IN 46032
Net Due Date 10/01/10 Terms net 30 Shipping UPS 41234
a ,m'",w
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�Mp Part Number ®ES�C rJat c.
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1 015- 0486 -OOR RECORDER VHS AG -720
Serial Number(s)
ES1440
41234
ES01440 VAULT
OW 05/12/99
Only static on tape after recording.
Jason Ogle 317- 733 -4600 Fax 317 733 -6257
jogle@carmel.in.gov
2 888 8888 -36 CS FREIGHT GROUND 65.00 130.00
INBOUND AND OUTBOUND SHIPPING CHARGES
1 222 2300 -11 CS VIDEO PART 6.48 6.48,
15 111 1111 -12 OOW Video Labor tenths of hr 7.50 112.50
OOW Video Labor tenths of hr
ES 1440 W /AG720 E8WA10731 RECORDER. REPLACED PAN
T, (WORN). CLEANED HEADS FUCNTION TESTED. CHECKED
REMIT TO: FEDERAL ID 43- 1757730 Subtotal 248.98
KUSTOM SIGNALS, INC. Tax 0.00
KANS CITY, MO 64141 1882 II 1111111 1111 Ili! I al I I1
TOTAL 248.98
VWVW.KUSTOMSIGNALS.COM
KUSTOM SIGNALS, INC.
TERMS AND CONDITIONS
1. APPLICABILITY. Unless otherwise specified CONNECTION WITH THIS PURCHASE ORDER IS
in a written bid, quote or contract, the following terms and LIMITED TO THE AMOUNT PAID FOR THE GOODS.
conditions shall apply.
9. INDEMNIFICATION. Buyer will indemnify,
2. PRICES AND TAXES. Prices will be Kustom defend and hold Seller harmless from all losses, damages,
Signals, Inc.'s "Seller prices in effect on the date a liabilities and costs, including attorneys' fees, incurred or
purchase order is accepted by Seller, and Seller may change sustained by Seller as a result of any third party claim made
its prices at any time, in its sole discretion. All prices will against Seller, including a claim by a customer of Buyer,
be F.O.B- Chanute, Kansas, and net of any duties, sales, use arising from its negligent, reckless, willful, or intentional
or similar taxes, fees or assessments, and do not include actions in marketing and reselling the goods.
shipping, packaging or any insurance costs, all of which are
Buyer's responsibility. 10. EXPORT RULES. Buyer will not ship, transfer
or export the goods into any country or use the goods in
3. PAYMENT. Unless otherwise provided on the any manner prohibited by the United States Export
face of the invoice, payment is due net 30 days of invoice Administration Act or any other export laws, restrictions or
in US dollars. Partial payments are not permitted unless regulations (collectively the "Export Laws In addition, if
authorized in writing. Partial payments will be treated as the goods are id led as export controlled items under
non payment. Each invoice is independent from shipping the Export Laws, Buyer represents and warrants that Buyer
sequence and disputes relating to other invoices. Failure to is not a citizen, or otherwise located within, an embargoed
pay an invoice within 30 days will be considered a default. nation (including, without limitation ].ran, Iraq, Syria,
Sudan, Libya, Cuba, and North Korea) and that Buyer is
4. DELIVERY AND PERFORMANCE. Delivery not otherwise prohibited under the Export Laws fi
dates are approximate. Seller disclaims all liability for late receiving the goods.
or partial delivery. Seller may deliver in such lots and at
such times as is convenient for Seller. 1 I MISCELLANEOUS. This purchase order,
together with any other written agreement between Buyer
and Seller, if any: (i) is the exclusive statement of the
S. .LOSS IN TRANSIT. Risk of loss will pass to parties with respect to the subject matter and supersedes
Buyer upon delivery of the goods to the carrier. In case of
breakage or loss in transit, Buyer will have notation of any prior or contemporaneous communications; (ii) may
same made on expense bill before paying freight. Seller not be amended except in writing executed by the parties;
may reject claims for shortages not made within 15 days of and (iii) will be interpreted and enforced in accordance
with the laws of the State of Kansas, without giving effect
Buyer's receipt of the goods- to principles of conflicts of law. This purchase order is:
(1) solely for the benefit of the parties, and no provision of
6. TERMINATION, RESTOCKING CHARGES. this purchase order will be deemed to confer upon any
Buyer may terminate this purchase order for its other person any remedy, claim, liability, reimbursement,
convenience, in whole or in part, by written, faxed or cause of action or other right. Each party consents to the
telegraphic notice at any time. If Buyer terminates this exclusive personal jurisdiction of the state and federal
purchase order for convenience, Buyer will be liable to courts located in the State of Kansas for purposes of any
Seller for Seller's reasonable costs incurred in the suit, action or other proceeding arising out of this
performance of this purchase order that Seller cannot Agreement, waives any argument that venue in any such
mitigate. Unless otherwise agreed upon in advance in forum is not convenient and agrees that the venue of any
writing by Seller, Seller may charge Buyer a 25% litigation initiated by either of them in connection with this
restocking fee, if: (a) the Buyer returns any non defective Agreement will be in either the District Court of Johnson
goods covered by this purchase order; or (b) prior to County, Kansas, or the United States District Court,
shipment, but after the goods are produced by Seller, Buyer District of Kansas. If any provision of this purchase order
cancels the order for the subject goods. is unenforceable, the remaining provisions will remain in
effect. No waiver (whether by course of dealing or
7. WARRANTY. Seller's warranty is provided otherwise) is effective unless it is made in writing and
separately. signed by the party to be charged with such waiver. Unless
otherwise specified in writing, notices must be given in
LIMITATION OF LIABILITY. SELLER IS writing by registered or certified mail, return receipt
NOT LIABLE FOR ANY CONSEQULNTIAL, requested, addressed to:
INDIRECT, OR INCIDENTAL DAMAGES, OR ANY
LOST PROFITS OR LOST SAVINGS, EVEN IF A Kustom Signals, Inc.
SELLER REPRESENTATIVE HAS BEEN ADVISED OF At 3 Sales Dept.
THE POSSIBILITY OF SUCH LOSS, DAMAGES, K S 66
Lennexaexa
CLAIMS OR COSTS, NOR IS SELLER LIABLE FOR KS 66215
ANY CLAIM BY ANY THIRD PARTY. SELLER'S
AGGREGATE LIABILITY UNDER OR IN
1010 W. Chestnut
KUSTOM SIGNALS, IN Chanute, KS 66720
www,kustomsignals. com
A SUBSIDIARY OF PUBLIC SAFETY EQUIPMENT, INC.
August 31, 2010
To: Carmel PD
Attn: Jason Ogle
RMA 163389 SR WEB 41234
Kustom Signals has received serial ES01440 for repair.
The quoted repair charge is 248.98
*Does not include any applicable sales tax
Estimate policy
Once we have provided you with an estimated repair price, we request you reply within 10
business days. If no response is received within 45 days, we will ship your repaired
equipment back and invoice you for the quoted amount.
A $75.00 US flat rate fee, plus shipping fees, will be charged on declined estimates for the
diagnostic assessment.
If a purchase order or credit card is needed as a method of payment, please include that
information on your return FAX or email.
Thank you,
Shawn McCloskey
Customer Service Representative
Phone: 800- 835 -0156, Ext. 3032
Fax: 913- 492 -1703
estimate cr,kustomsignals.com
Accept Decline Other
Name signature Date
PO /credit card info (if required):
If you are using a credit card, please include the card number, the authorization code from the back, and
the expiration date.
Page 1 of 2
Anderson, Teresa K
From: Ogle, Jason W
Sent: Tuesday, August 31, 2010 8:30 AM
To: Anderson, Teresa K
Subject: FW: Kustom Signals Repair Estimate 163389 SR 1 WEB 41234
Attachments: 08 ESTIMATE FORM.doc
This is for camera repair to car 61, Malloy.
From: McCluskey, Shawn mailto :smccluskey @kustomsignals.com]
Sent: Wednesday, August 18, 2010 9:24 AM
To: Ogle, Jason W
Subject: Kustom Signals Repair Estimate 163389 SR WEB 41234
SEE ATTACHMENT.
8/31/2010
Page 2 of 2
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If verification is required please request a hard -copy version.
8/31/2010
City of Carmel
One Civic Square
Carmel, Indiana 46032
;t_. 317.571.2400
Price Quote Data Form
Date: 813112010 P.O. 27017
Vendor Item Price Quotation
(Name, Address Telephone Number
Kustom Signals repairs to car cam $248.98
P.O. 411882
Kansas City, MO 64141
Buyer: Kustom Signals
Reason Order Was Placed With Successful Vendor: manufacturer
Order placed by: Jason Ogle
INDIANA RETAIL TAX EXEMPT PAGE 1 of 1
City 1 Jj r C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 27017
3= CIVIC 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
°URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Augg st 31 2010 reppirs
VENDOR Xustom Signals SHIP City of Carmel Police Department
P.O. Box 411882 TO 3 Civic Square
Kansas City, mO 64141 Carmel, IN 46032
ATTN: Jason Ogle
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
repairs to car cam for car 61 f Malloy 248°48
Serial #ES01440
M aID
d.',)
Send Invoice To: City of Carmel Police Depar eAt i !i
ATTN: Teresa Anderson
3 6ivic Squzaaw
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 500 equipment repairs and, i �F (V ENT
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 APPROPRI, TION SUFFICIENT TO PAY FOR THE ABOVE ORDER. h
qq
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY f'
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Pol ice
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
P
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #i CtTLE AMOUNT
DEPT. t 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__ T
20
Signature
Title
Cost distribution ledger classification it
i claim paid motor vehicle highway fund
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Kustom Signals Purchase Order No. 27017F
PO Box 411882
Terms
Kansas City, MO 64141 -1882
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/1/10 424965 payment for repairs to car cam 248.98
car6l /Malloy
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
Kustom Signals
PO Box 411882 IN SUM OF
Kansas City, MO 64141
248.98
ON ACCOUNT OF APPROPRIATION FOR
pol ice general fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
27017F 424965 500 248.98 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
Sept 9, 2010
A�'Ma
Si nature
Uhief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund