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Home My WebLink About197281 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 358122 Page 1 of 1 ONE CIVIC SQUARE L -COM CONNECTIVITY PRODUCTS CARMEL, INDIANA 46032 PO BOX 55758 CHECK AMOUNT: $536.10 BOSTON MA 02205 -5758 CHECK NUMBER: 197281 CHECK DATE: 5/11/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4237000 1803947 251.48 REPAIR PARTS 1115 4237000 1806079 284.62 REPAIR PARTS ®Global INVOICE r Please Remit to: Bank Transfers To: C& I C onnectivity P.O. Box 55758 Citibank, Miami, LM Boston, MA 02205.5758 Branch 61 -Boca a Raton, FL. ABA 266. 086 -554 978- 682 -6936 978 689 -9484 Account 911. 5135234 Swift Code' CITIUS33 Account Name: 1-- com, Inc. Invoice 1806079 Invoice Dat 2 7- Apr 11 Page 1 Us funds only Sold CARMEL, CITY OF COMMUNICATIONS DEPT To: 31 FIRST AVE NW Ship CARMEL, CITY OF COMMUNICATIONS DEPT CARMEL, IN 46032 To: Attn: TODD LUCKOSKI 31 FIRST AVE NW CARMEL, IN 46032 Ship Via Shi Date D Date Purc Order Uur_Order Order_Date____ FX GD 27 -Apr -11 27 -May -11 T LUCKOSKI 3383680 21 -Apr -1 I Shipment Terms Buyer Account Salespeople 1136757 NET 30 TODD LUCKOSKI 171655 70 616 N[T""` �k.� .m�^€ 3 n 4 ..K r� ORD Q�� .,,dfi4 3 E .3 di d 'u P. j Yr j E[N• "[TEM DESCRIPTIONia3 E. CL15TO1GI1 R ITEM F" lT /i�t' sBALANCE SI {IPPI D t PRICE` a A y RIOFIN vs,�"d#> mgA -"N s e ifm 5` w Thank you for your order, we appreciate your business. 1 CA- AMNMCN 19 EA 10 10 13.49000 134.90 CA,CA 100 ALPROX/NM 19,IN 0 2 AXA- NFNFB2 EA 10 1.0 3.35000 33.50 ADP,N- Female to N- Female 0 6 CA- NMNMH005 EA 5 5 22.25000 111.25 CA,NM NM 5FT CA -40OUF 0 ALL CLAIMS MUST BE MADE SEVEN (7) DAYS AFTER RECEIPT. CERTIFICATE OF COMPLIANCE: This is to certify that the product shipped against your purchase order subtotal (USD) 279.65 conforms to the requirements of your purchase order. CERTIFICATE OF ORIGIN: This Certifies the items listed above originated in the country indicated on the individual packaging label. Thomas Barczak, Corporate Quality Manager Freight (USD) 4.97 Total (USD) 284.62 SHIPPING TRACKING 045946870300822 Created On: 04/27/11 11:48:10 AM Printed On: 04/27/11 1:08:52 PM ®Global INVOICE C&I Please Remit to: Bank. Transfers To: L Connecti P Box 55758 Citibank, Bo FL Boss 61 ton, MA 02205 -5758 Branch 4 6 t -Boca Raton, FL. ABA h 266- 086.554 978 -682 -6936 978 689 -9484 Account 49115135234 Swift Code: CTfUS33 Account Name: t. corn, Inc. US funds onhv Invoice 1803947 Invoice Date 21- Apr -I 1. Page 1 Sold CARMEL, CITY OF COMMUNICATIONS DEPT To: 31 FIRST AVE NW Ship CARMEL, CITY OF COMMUNICATIONS DEPT CARMEL, IN 46032 TO: Attn: TODD LUCKOSKI 31 FIRST AVE NW CARMEL, IN 46032 Ship Via Ship Date Due. Date.. _Purchase Order Our Order. hate_.._ FX GD 21 -Apr -11 21 -May -11 LUCKOSKI 3383680 21 -Apr -11 Shipment Terms Buyer Account Salespeople 1129180 NET 30 TODD LUCKOSKI 171655 70 616 `ORD QTl'/ UNIT LIIV�/ I rEhi ll SCRIP7101V CtJS 10(<1ER ITEM Uf111 'BAI AiVCN S[I fill PE PRICE uA AMOUNI r_ p ,..fr -.._w _e .mss.._. m. .,�..i a Thank you for your order, we appreciate your business. 3 WJ65030 EA 5 5 5.95000 29.75 PROTECTIVE CAP WJ JK 0 4 WJP1F5 EA 5 5 24.95000 124.75 ENET FR/FR PASS -THRU SHLD 0 5 UADAA90 -2 EA 20 20 4.55000 91.00 ADPT, USB A M/F 90 DEG EXIT 2 0 ALL CLAIMS Nius r BE MADE SEVEN (7) DAYS AFTER RECEII'1 CERTII'ICA'F.E OF CONIPLIANCE: This is to certify that the product shipped against your purchase order Subtotal (USD) 245.50 conforms to the requirements of your purchase order. CERTIFICATE OF ORIGIN: This Certifies the items listed above originated in the country indicated on the individual packaging label. "Thomas 13arezak, Corporate Quality Manager Freight (USD) 5.98 Total (USD) 251.48 SHIPPING' TRACKING 002191 171526258 Created On: 04 /21 /11 5:09:04 PM Printed On: 04/22/11 9:05:30 AM VOUCHER NO. WARRANT NO. ALLOWED 20 L Com Global Connectivity IN SUM OF P.O. Box 55758 Boston, MA 02205 -5758 $536.10 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members 1115 1803947 42 370.00 $251.48 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1115 1806079 42 370.00 $284.62 materials or services itemized thereon for which charge is made were ordered and received except Wednesday, May 04, 2011 4 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by Slate 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)) 04/21/11 1803947 $251.48 04/27/11 1806079 $284.62 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