195527 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 178620 Page 1 of 1
ONE CIVIC SQUARE KUSTOM SIGNALS, INC
s CARMEL, INDIANA 46032 PO BOX 411882
ATTN ACCTS REC CHECK AMOUNT: $408.37
�o CHECK NUMBER: 195527
KANSAS CITY MO 64141 -1882
CHECK DATE: 3116/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION
1110 4350000 27287 436160 408.37 RADAR REPAIRS
Invoice Number 436160
Invoice
KUSTOBA SIGNALS, INC Customer Copy
REMITaTQ Invoice Date 02/23111
A PUBLIC SAFETY EQUIPMENT COMPANY Customer Number 16673
1010 W. Chestnut l P.O. Box 947 KUSTOM,SIGNALS INC
Chanute, KS 66720 -0947 Order Number 168556 SR
(620) 431 -2700 Fax (620) 431 -2734 KANSAS;`CITY,.MQ 641411882 Customer PO 27287
SOLD TO Page 1 of 1
CARMEL POLICE DEPT SHIP TO
POLICE DEPT HDQTRS CARMEL POLICE DEPT
3 CIVIC SQUARE POLICE DEPT HDQTRS
CARMEL IN 46032 3 CIVIC SQUARE
CARMEL IN 46032
Net Due Date 03/25/11. Terms net 30 Shipping UPS 44381
tkbi l��e y f Qty
Part Number DES /Serial
I�rl
1 064- 0068 -OOR PRO- 1000DS
Serial Number(s)
DSO4590
44381
DSO4590 ILA15016
OW 07/15/99
Poor range and no squelch.
Jason Ogle 317 7334600 Fax 317 733 -6257
jogle @carmel.in.gov
1 888 8888 -33 CS FREIGHT GROUND 18.00 18.00
INBOUND SHIPPING CHARGES
1 222 2300 -02 CS RADAR USED PART 265.00 265.00
1 155- 3040 -06 ACC -CABLE MOLDED ANTENNA 35.00 35.00
1 030 2459 -00 CONN PNL 6 -PIN W.T. 15.37 15.37
10 111 1111 -13 COW Radar Labor tenths of hr 7.50 75.00
OOW Radar Labor tenths of hr
DS 04590 LA 15016 ANTENNA.
CUSTOMER PURCHASED CPO COUNTING UNIT DS 25550 FOR
W/60-DAY WARRANTY. RE=PLACED PHILMORE CONNECTOR WITH
WIT CONNECTOR 6' ANTEENA CABLE. (TOTAL PRICE OF THE
IS $408.37
CE=RTIFIED TESTED.
24.169 GHZ
REMIT TO: FEDERAL ID 43- 1757730 Subtotal 408.37
KUSTOM SIGNALS, INC.
PO BOX 411882 I I Illl�ll l IIIIII Tax 0.00
I
KANSAS CITY, MO 64141 -1882 TOTAL 408.37
WWW.KUSTOMSIGNALS.COM
KUSTOM SIGNALS, INC.
TERMS AND CONDITIONS
APPLICABILITY. Unless otherwise specified CONNECTION WITH THIS PURCHASE ORDER IS
in a written bid, quote or contract, the following terms and LIMITED TO THE AMOUNT PAID FOR THE GOODS.
conditions shall apply.
9. INDEMNIFICATION. Buyer will indemnify,
2. PRICES AND TAXES. Prices will be Kustom defend and hold Seller harmless from all losses, damages,
Signals, Inc.'s "Seller prices in effect on the date a liabilities and costs, including attorneys' fees, incurred or
purchase order is accepted by Seller, and Seller may change sustained by Seller as a result of any third party claim made
its prices at any time, in its sole discretion. All prices will against Seller, including a claim by a customer of Buyer,
be F.O.B. Chanute, Kansas, and net of any duties, sales, use arising from its negligent, reckless, willful, or intentional
or similar taxes, fees or assessments, and do not include actions in marketing and reselling the goods.
shipping, packaging or any insurance costs, all of which are
Buyer's responsibility. 10. EXPORT RULES. Buyer will not ship, transfer
or export the goods into any country or use the goods in
3. PAYMENT. Unless otherwise provided on the any manner prohibited by the United States Export
face of the invoice, payment is due net 30 days of invoice Administration Act or any other export laws, restrictions or
in US dollars. Partial payments are not permitted unless regulations (collectively the "Export Laws In addition, if
authorized in writing. Partial payments will be treated as the goods are identified as export controlled items under
non payment. Each invoice is independent from shipping the Export Laws, Buyer represents and warrants that Buyer
sequence and disputes relating to other invoices. Failure to is not a citizen, or otherwise located within, an embargoed
pay an invoice within 30 days will be considered a default. nation (including, without limitation Iran, Iraq, Syria,
Sudan, Libya, Cuba, and North Korea) and that Buyer is
4. DELIVERY AND PERFORMANCE. Delivery not otherwise prohibited under the Export Laws from
dates are approximate. Seller disclaims all liability for late receiving the goods.
or partial delivery. Seller may deliver in such lots and at
such times as is convenient for Seller. 1 1. MISCELLANEOUS. This purchase order,
together with any other written agreement between Buyer
5. LOSS IN TRANSIT. Risk of loss will pass to and Seller, if any: (i) is the exclusive statement of the
Buyer upon delivery of the goods to the carrier. In case of parties with respect to the subject matter and supersedes
breakage or loss in transit, Buyer will have notation of any prior or contemporaneous communications; (ii) may
same made on expense bill before paying freight. Seller not be amended except to writing executed by the parties;
may reject claims for shortages not made within 15 days of and (iii) will be interpreted and enforced in accordance
Buyer's receipt of the goods. with the laws of the State of Kansas, without giving effect
to principles of conflicts of law. This purchase order is:
(l) solely for the benefit of the parties, and no provision of
6. TERMINATION, RESTOCKING CHARGES. this purchase order will be deemed to confer upon any
Buyer may terminate this purchase order for its other person any remedy, claim, liability, reimbursement,
convenience, in whole or in part, by written, faxed or cause of action or other right. Each party consents to the
telegraphic notice at any time. If Buyer terminates this exclusive personal jurisdiction of the state and federal
purchase order for convenience, Buyer will be liable to courts located in the State of Kansas for purposes of any
Seller for Seller's reasonable costs incurred in the suit, action or other proceeding arising out of this
performance of this purchase order that Seller cannot Agreement, waives any argument that venue in any such
mitigate. Unless otherwise agreed upon in advance in forum is not convenient and agrees that the venue of any
writing by Seller, Seller may charge Buyer a 25 litigation initiated by either of them in connection with -this
restocking fee, if: (a) the Buyer returns any non defective Agreement will be in either the District Court of Johnson
goods covered by this purchase order; or (b) prior to County, Kansas, or the United States District Court,
shipment, but after the goods are produced by Seller, Buyer District of Kansas. If any provision of this purchase order
cancels the order for the subject goods. is unenforceable, the remaining provisions will remain in
effect. No waiver (whether by course of dealing or
7. WARRANTY. Seller's warranty is provided otherwise) is effective unless it is made in writing and
separately, signed by the party to be charged with such waiver. Unless
otherwise specified in writing, notices must be given in
LIMITATION OF LIABILITY. SELLER IS writing by registered or certified mail, return receipt
NOT LIABLE FOR ANY CONSEQUENTIAL, requested, addressed to:
INDIRECT, OR INCIDENTAL DAMAGES, OR ANY Kustom Signals, Inc.
LOST PROFITS OR LOST SAVINGS, EVEN IF A
SELLER REPRESENTATIVE HAS BEEN ADVISED OF Attn: Sales Dept.
THE POSSIBILITY OF SUCH LOSS, DAMAGES, 9652 Loiret Boulevard
CLAIMS OR COSTS, NOR IS SELLER LIABLE FOR Lenexa, KS 66219
ANY CLAIM BY ANY THIRD PARTY. SELLER'S
AGGREGATE LIABILITY UNDER OR IN
INDIANA RETAIL TAX EXEMPT PAGE
City of C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 27
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9120`19
Kustam Signals Cumol Pollce Department
VENDOR SHIP 3 Civic Squa m
P.O. Box 499192 TO Cmmol, IN
Kanams Cft, MO 64W (397) 579 M
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
A ccount UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43 .00
9 Each repair t® radar $408.37 $408.37
Saab Total: $408.37
I 51 a
a
IT
ropairs 8o sparo mdar RMA 01 68566S
Xq
Send Invoice To:
Camel Police Dopadmant d
Attn: TGmsa Andemon
3 Civic Squ
Carmel, IN 4 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
cwmel Police Dept. PAYMENT .57
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 THE RE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APP 1•JPF EIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY y
SHIPPING LABELS. fi� l� of P o lice
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL No.27287 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO.— WARRANT NO.
ALLOWED 20
IN THE SUM OF
R F t
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO #F or INVOICE NO. ACCT #ItITLE 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
VOUCHER NO. WARRANT NO.
Kustom Signals ALLOWED 20
IN SUM OF
P.O. Box 411882
Kansas City, MO 64141
$408.37
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
27287 436160 43- 500.00 $408.37 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
Thursday, March 10, 2011
Chief of Police
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))
02/23/11 436160 payment for repairs to radar $408.37
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