192385 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 356389 Page 1 of 1
0 ONE CIVIC SQUARE BLACK BOX RESALE SERVICES CHECK AMOUNT: $233.00
CARMEL, INDIANA 46032 SIDS 12 -0976
PO BOX 86
CHECK NUMBER: 192385
MINNEAPOLIS MN 55486 -0976
CHECK DATE: 12/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTI
1180 4463100 4077041 233.00 COMMUNICATION EQUIPME
4914rr� BLACK B 01
RESALE SERVICES INVOICE
Vibes Technologies, Inc.
BILL TO: 116124
For billinq questions, please call
CITY OF CARMEL 877 214 -4661
CARMEL CLAY COMM CTR/TODD LUCKOSKI
31 1 STAVE NW Irivo�ce
4D77041
CARMEL IN 46032 Order 9s9s95sss...
UNITED STATES Invoice Date. >.09/20/2010.
PO .'s: LAW DEPARTMENT'
Amount Due 233 QO.,
SHIP Td: 116124 US Dollar
CITY OF CARMEL NET 30 FROM INVOICE D ATE
CARMEL CLAY COMM CTR /TODD LUCKOSKI
31 1ST AVE NW REMIT PAYMENT TO:
BRIAN SMITH Black Box Resale Services
CARMEL, IN 46032 SDS 12 -0976
PO BOX 66
Minneapolis, MN 55486 -0976
Line Adi Identifie Description Quantity Unit Amt Net Amount
1 FREIGHT FREIGHT AND HANDLING 1 8.00 8.00
2 XM5316B G #NOR CTX M5316 BLX 1 225.00 225.00
Subtotal.
233.' 00
Total Amount Due x;'....233: CO
Original
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
Black Box Resale Services
Purchase Order No.
SIDS 12 -0976, P. O. Box 86
Terms
Minneapolis, MN 55486 -0976
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11 -22 -10 4077041 G #NOR CTX M5316 Telephone $233.00
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
Black Box Resale Services IN SUM OF
SDS 12 -09 76, P. O. Box 86
Minneapolis, MN 55486 -0976
$233.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
440 -63100 Communication Equipment
Board Members
P9# sp
D INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1180 407704 233.00 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
20/0
ignature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund