192489 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 357257 Page 1 of 1
ONE CIVIC SQUARE L D V, INC
CHECK AMOUNT: $126.93
CARMEL, INDIANA 46032 180 INDUSTRIAL DRIVE
BURLINGTON WI 53105
CHECK NUMBER: 192489
CHECK DATE: 1217/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4237000 IN341365 126.93 REPAIR PARTS
LDV 1 nvoice
mug A L M Oita 180 Industrial Drive
Burlington, W1 53105 Page 1 of 1
Phone: +1 (262) 763 -0147 Date 11/10/2010
Fax +1 (262) 763 -0272 Invoice number IN341365
Bill to: Carmel Fire Dept Ship to: Carmel Fire Dept
2 Civic Sq 31 1 st Ave NW
_Carmel, IN 4602 Attn: Todd Luckoski
Carmel, IN 46032
Payment .:Check Customer account 116368
Ship via ..:UPS Ground r Requisition verbal-
Ship date 11110/2010 Order date 11110/2010
Due date 11/20/2010 Sales order S0276932
Terms Net 10 Salesperson 980
Item number Size Description Unit Order qty Quantity Unit price Total price
19070058 Satellite Sys, Dual LNB universal (new 8105) EA 1.00 1.00 115.00 115.00
Freight/ Misc. charges 1.00 11.93
Please note:
All returns must have a Return Merchandise Authorization (RMA) Number.
Prior to returning goods to LDV, please call 1- 800 -558 -5986 for an RMA Number.
ALL RETURNS MUST BE MADE WITHIN 30 DAYS
Subtotal: 126.93
Amount. Subject to Sales Tax Amount Exempt from Sales Tax Invoice discount: 0.00
0.00 126.93 Sales tax: 0.00
Invoice total: 126.93 USD
VOUCHER NO. WARRANT NO.
ALLOWED 20
LDV, Inc
IN SUM OF
180 Industrial Drive
Burlington, WI 53105
$126.93
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1115 I IN341365 I 42- 370.00 I $126.93 1 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
Wednesday, December 01, 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))
11/10/10 I IN341365 I $126.93
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