190551 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 093500 Page 1 of 1
ONE CIVIC SQUARE FEDERAL SIGNAL CORP
CARMEL, INDIANA 46032 7288 COLLECTION CENTER DRIVE CHECK AMOUNT: $9,985.61
CHICAGO IL 60693
CHECK NUMBER: 190551
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4351502 26858 94048496 8,005.61 ANNUAL MAINT
1115 4351502 26858 94049891 1,980.00 ANNUAL MAINT
r
FEDERAL SIGNAL CORP. INVOICE
FEDERAL WARNING SYSTEMS
Send Payments to: FEDERAL SIGNAL CORP.
7288 Collection Center Drive Billing Inquiry: FEDERAL WARNING SYSTEMS
Call: (708)- 534 -4784 2645 Federal Signal Drive
Chicago, IL 60693 Fax: (708)- 534 -4866 University Park, IL 60484
Invoice No. 94049891 SHIPPER: 54596 Page 1
Cust Fax:
Invoice Date 09 -04 -10
Our Order No. 4101075
SHIP TO:
SOLD TO: 6183 CARMEL CITY OF
CARMEL CITY OF CARMEL CLAY COMMUNICATION
CARMEL CLAY COMMUNICATION ATTN:MARIVN STEWART
DISPATCH 31 FIRST AVE NW
31 FIRST AVE NW CARMEL, IN 46032
CARMEL, IN 46032 USA
N
REP: 405 REGION: 2002 DE
BILL TO.NO CUSTOMER:'S ORDER: NO. TERMS SHIPPED VIA TRACKING I!'': D.AT.E,SH1PPED
6183 26858 0.0010130 IN HOUSE 09 -03 -10
ITEM. QUAW ::QUAN QUAN UNIT TOTAL
PART NUMBER DESCRIPTION.
NO ORDERED. ;BACK DRD. .SHIPP.ED, PRICE AMOUNT..
1 1 0 1 TK- S- CPSYSOP -CU 1980.00 1,980.00
INSTALLATION OF EMT AND
WIRE TRANSFERS to SUB TOTAL 1,980.00
Bank of Amenca Chicago 'IL
Acct No. 8666605435. TAXES 0.00
ABA NO €:0260= 0959.:3:.:;..: SHIPPING HANDLING 0.00
Swift:ft BO.FAUS21W INVOICE TOTAL 1,980.00
ORIGINAL Form Revised Auo 6 2010
FEDERAL SIGNAL CORP. INVOICE
FEDERAL WARNING SYSTEMS
Send Payments to: FEDERAL SIGNAL CORP.
7288 Collection Center Drive Billing Inquiry: FEDERAL WARNING SYSTEMS
Call: 17081- 534 -4784 2645 Federal Signal Drive
Chicago, IL 60693 Fax: 17081 -534 -4866 University Park, IL 60484
Invoice No. 94048496 SHIPPER: 53244 Page 1
Cust Fax:
Invoice Date 06 -07 -10
Our Order No. 4101075
SHIP TO:
SOLD TO: 6183 CARMEL CITY OF
CARMEL CITY OF CARMEL CLAY COMMUNICATION
CARMEL CLAY COMMUNICATION ATTN:MARIVN STEWART
DISPATCH 31 FIRST AVE NW
31 FIRST AVE NW CARMEL, IN 46032
CARMEL, IN 46032 USA
N
REP: 405 REGION: 2002 oe
BILL' TO:NO CUSTOMER'S ORDER <NO TERMS ;I,'; SHIPPED :mA &TRACKING :.I; PATE..< SHIPPED:;
1ZEW51840300279477
6183 2fi858 0.0010130- UPS 06 -07 -10
ITEM QUAN QUAN QUAN UNIT TOTAL:
NO.:',. .ORDERED' BACK.ORD. SHIPPED PART NUMBER /DESCRIPTION PRICE AMOUfUT
1 1 0 1 EMT 5000.00 5,000.00
SOFTWARE EMTOOLS
KEY GENERATED
2 1 0 1 ES -SMV 0.00 0.00
TO MAKE SFCDCLNT
3 1 0 1 SFCDCLNT 3000.00 3,000.00
TCP /IP CLIENT 5 SEATS
BURN CD CLIENT10.13
WIRE TRANSFERS to SUB -TOTAL 8,000.00
60k of Amenca Gh cago .IL
Acct:No866:S.fi05435> TAXES 0.00
ABA No :0260:.- 0959 -3 i SHIPPING HANDLI G 5.61
:Swift:No: BOFAUS3N INVOICE TOTAL $8,005.61
ORIGINAL Form Revised Sept 08 2006
1 INDIANA RETAIL TAX EXEMPT ?AGE
C1 I" f C arme l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 266J6
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL,•INDIANA46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BYSTATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
3 URCHASE OR DER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
4/1612010
Federal Signal Corporation Carmel Clay Communications
VENDOR Federal Warning Systems SHIP 31 First Avenue HWl
26451 Federal Si gnal Drive T Carm IN 46032
University Park, IL 60 84 (317) 571 -2586
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
A ccount 43- 515.
1 Each EMTOOLS STANDARD SOFTWARE EMT $5,000.00 $5,000.00
PKG
1 Each TCP /IP CLIENT SOFIWARE, 5 SEAT SFCDCLNT $3,000.00 $3,000.00
1 Each INSTALL OF EMIT &SFCDCLNT f �Ti<YSOP -CU $1,980.00 $1,980.
j� f �E_ Sub Total: $9,980.00
m
42 r, l
Send Invoice To:
Carmel Clay Communications
31 Fillet Avenue NW
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Communications PAYMENT $9,980
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 APP OPRIATlON SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.Q.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. J'{_,
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO."
CLERK- TREASURER
DOCUMENT CONTROL NO. 2 6 8 5 8 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO._
ALLOWED 20
IN THE SUM OF
•t
ON ACCOUNT OF APPROPRIATION FOR
t?�
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.—
Tide
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Federal Signal Corporation
Federal Warning Systems IN SUM OF
give
U
`K
$9, 985.61 tmo
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
26858 94048496 43- 515.02 $8,005.61 1 hereby certify that the attached invoice(s), or
26858 94049891 43- 515.02 $1,980.00
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
Wednesday, September 22, 2010
Director
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))
06/07/10 94048496 $8,005.61
09/04/10 94049891 $1,980.00
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