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189878 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 362168 Page 1 of 1 ONE CIVIC SQUARE L -3 COMMUNICATION MOBILE VISION I CHECK AMOUNT: $512.00 CARMEL, INDIANA 46032 PO BOX 5580 GENERAL POST OFFICE CHECK NUMBER: 189878 NEW YORK NY 10887 -5580 CHECK DATE: 9114/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4342100 27003 160614 12.00 REPAIR PARTS 1110 4350000 27003 160614 500.00 REPAIR PARTS Remit Payment to: L -3 Communications Mobile- Vision, Inc. communications P.O. Box 5580 General Post Office Mobile- Vision, Inc. New York, NY 10087 -5580 INVOICE 90 FANNY RD. BOONTON, NJ 07005 PH. 973-263-1090 0160614 -IN FAX 973 257 -3024 INVOICE NUMBER: 8/23/2010 INVOICE DATE: 1 PAGE: Carmel Police Department SOLD 3 Civic Square SHIP Carmel Police Department TO. Attn: Teresa Anderson TO: 3 Civic Square Carmel, IN 46032 Attn: Todd Luckoski Confirm To: Todd Luckoski Carmel, IN 46032 TRACKING NUMBER: F.O.B. BOONTON, NJ CUST. I.D.: INCARME SHIP VIA: UPS GROUND P.O. NUMBER: 27003 SHIP DATE: 8/2312010 P.O. DATE: 8/18/2010 DUE DATE: 9/22/2010 OUR ORDER NO.: 0086345 TERMS: Net 30 Days SALES PERSON: XX MV- VLP -LPH 15.00 15.00 EACH 25.00 375.00 TX Microphone, lapel, HD, 40" Whse: 000 MV- VLP -LPH -9 5.00 5.00 EACH 25.00 125.00 TX Microphone, lapel, HD, 9" Whse: 000 PLEASE REMIT PAYMENT TO L -3 COM MOBILE VISION, INC 0.00 PO BOX 5580 NEW YORK NY 10087 -5580 12.00 Shipping /Hndlg 512.00 These commodities, technology or software were exported from United States in accordance with the Ex ort Administrator Regulations. Diversion contrary to U.S. law is prohibited. t� CE INDIANA RTIFICA E 003120155 02 0 PAGE PURCHASE ORDER NUMBER PQliee Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 27003 3 =f 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 1 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Augus repair parts VENDOR L3 Communications Mobile- Vision, Inc SHIP City of Carnal Police Department 90 Fanny Road TO 3 Civic Square Boonton, NJ 07005 Cal=omel, I M 46 ATM: Todd Luckoski CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Quote #0086345 15 MV- VLP -LPR Microphone, lapel., HD, 40" 25.00 375.00 5 MV-- VLP -LPH -9 Microphone, lapel, RD, 9" 25.00 125.00 shipping 7_17_ 12.00 421 a 12.00f a• *,sit 500 m $500.00 I �'r 'ors i City of Carmel Police- �Depirt erir Send Invoice To: ATTN: Teresa Anderson 3 Civic Square Carmel, IN 46032 PLEASE INVOICE, IN DUPLICATE 512.00 DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 421 postage PAYMENT 1110 500 v equipment repairs an A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. mainten NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPR PRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. d r DE RE BY 4 PURCHASE ORDER NUMBER MUST APPEAR ON ALL l SHIPPING LABELS. THIS ORDER ISSUED iN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police 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 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 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 L -3 Communications Mobile— Vision, INc. Purchase Order No. 27003P P.O. Box 5580 Terms New York NY 10087 -5580 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 8/23/10 160614IN paVment for lapel mics 512.00 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 L -3 Communications Mobile- Vision, Inc. IN SUM OF P.O. Box 5580 New YorV, NY 10087 -5580 512.00 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 27003F 160614 421 12.00 bill(s) is (are) true and correct and that the 27003F 160614 500 500.00 materials or services itemized thereon for which charge is made were ordered and received except r August 31 2 0 10 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund