191123 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 356389 Page 1 of 1
ONE CIVIC SQUARE BLACK BOX RESALE SERVICES
CHECK AMOUNT: $93.00
CARMEL, INDIANA 46032 SIDS 12-0976
PO BOX 86 CHECK NUMBER: 191123
MINNEAPOLIS MN 55486 -0976
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4464000 4080805 93.00 OFFICE EQUIPMENT
*BLACK BOAC
RESALE SERVICES INVOICE
Vibes Technologies, Inc.
BILL TO: 116124
For billing questions, please call
CITY OF CARMEL 877- 214 -4661
CARMEL CLAY COMM CTR /TODD LUCKOSKI
31 1ST AVE NW Invoice N: 4080805
CARMEL IN 46032 order H. 999395887
UNITED STATES Iuvince Date. 10/12!2010
POJ/
-1W DEPARTMENT
Aiiount.Due :93:.0
SHIP TO: 116124 US Dollar
CITY OF CARMEL NET 30 FROM INVOICE LATE
CARMEL CCMM CTR /TODD LCC:CCSRI
31 1ST AVE NW REMIT PAYMENT TO:
BRIAN SMITH Black Box Resale Services
CARMEL, IN 46032 SDS 12 -0976
PO BOX 86
Minneapolis, MN 55486 -0976
Line Adj Identifier Description Quantit U ni t Amt Net Amount
1 FREIGHT FREIGHT AND HANDLING 1 8.00 8.00
2 XM9316CWB NOR HER M9316 ANLG CLL ID BLK 1 85.00 85.00
Subtotal: 93.00'
Total: Amount Due:,. s 93.`.00.
Original
VOUCHER NO. WARRANT NO.
ALLOWED 20
Black Box Resale Services
IN SUM OF
SDS 12 -0976 PO Box 86
Minneapolis, MN 55486 -0976
I
$93.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1201 I 4080805 44- 640.00 I $93.00 1 hereby certify that the attached invoice(s), or
I 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
Monday, October 25, 2010
Director, HR
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))
10/12/10 4080805 $93.00
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