165153 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 033825 Page 1 of 1
ONE CIVIC SQUARE CDW GOVERNMENT INC
CARMEL, INDIANA 46032 75 REMITTANCE DR CHECK AMOUNT: $501.95
1515 SUITE
CHECK NUMBER: 165153
CHICAGO IL 60675 -1515
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4463201 LXD5347 304.00 HARDWARE
1192 4463201 19712 MCF4147 154.00 USB DOCKING STATION
1115 4230200 MCG9563 43.95 OFFICE SUPPLIES
'The Right Technology.
Right Away. 10!0112008 LXD5347 NET 30 Days- GovUState -Local 10/31/2008
VISIT CDWG ON THE INTERNET
OUR PART NO. DESCRIPTION CITY CITY OTY ORD SHIP B/O UNIT PRICE TOTAL
1005170 BROTHER PPF -4100E LASER FAX 1 1 0 $290.00 $290.00
Manufacture Part Number: FAX 4100E
Serial Number: E8,1805300
183031 BELKIN /CDW 6' USB 2.0 A/B CABLE 1 1 0 $2.00 $2.00
Manufacture Part Number: F3U133 -06 -CDW
ACH INFORMATION: THE NORTHERN TRUST ROUTING NO.: 071000152
50 SOUTH LASALLE STREET ACCOUNT NAME: CDW GOVERNMENT IN
CHICAGO, IL 60675 ACCOUNT NO.: 91057
HAVE QUESTIONS ABOUT YOUR ACCOUNT? PLEASE EMAIL Ul AT: credit @cdw. om
ORDER DATE SHIP VIA PURCHASE ORDER NO. CUS TOMER
1010112008 FEDEX Ground GC10012008 6676598 PRODUCT $292.00 SUBTOTAL
SALESPERSON SHIP TO SALES ORDER NUMBER $12.00
312 705 -9572 SALES
BART HECKMAN CITY OF CARMEL FIRE DEPT SHIPPING
GARY CARTER LZVO401 TAX $0.00
2 CARMEL CIVIC SQ
barthec @cdwg.com CARMEL IN 46032
INVOICE _m $304.00
CDW GOVERNMENT, INC. AN ILLINOIS CORPORATION FEIN 36- 4230110 AMOUNT
AMOUNT DUE $304.00
11111111111111111111111111111111fill11111111111ILHill1111N111111111tillI1f1111 7
W
CDW Government, Inc. "CDW -G Terms and Conditions of Sale
THE TERMS AND CONDITIONS ARE LIMITED TO THOSE CONTAINED HEREIN AND THE ADDITIONAL TERMS Seller will not be responsible for and no liability shall result to Seller or any of its Affiliates for any delays in
AND CONDITIONS CONTAINED IN THE'TERMS AND CONDITIONS" LINK AT WWW.CDW.COM INCORPORATED delivery or in performance which result from any circumstances beyond Seller's reasonable control, including.
HEREIN BY REFERENCE. ANY TERMS NOT DEFINED HEREIN ARE DEFINED AT WWW.CDW.COM. ANY but not limited to, Product unavailability, carrier delays delays due to fire, severe weather conditions failure
ADDITIONAL OR DIFFERENT TERMS OR CONDITIONS IN ANY FORM DELIVERED BY YOU "CUSTOMER ARE of power, labor problems, acts of war. terrorism, embargo, acts of God or acts or laws of any government or
HEREBY DEEMED TO BE MATERIAL ALTERATIONS AND NOTICE OF OBJECTION TO THEM AND REJECTION agency, Any shipping dates or completion dates provided by Seller or any purported deadlines contained in a
OF THEM IS HEREBY GIVEN. Statement of Work or any other document are estimates only
BY ACCEPTING DELIVERY OF THE PRODUCTS OR BY ENGAGING THE COW AFFILIATE IDENTIFIED ON THE Pricing Information; Availability Disclaimer
INVOICE. STATEMENT OF WORK OR OTHER CDW DOCUMENTATION "SELLER TO PROVIDE PRODUCT OR Seller reserves the right to make adjustments to pricing, Products and Service offerings for reasons including,
PERFORM OR PROCURE ANY SERVICES. CUSTOMER AGREES TO BE BOUND BY AND ACCEPTS THESE TERMS but not bruited to, changing market conditions, Product discontinuatioq Product tmavailability, manufacturer
AND CONDITIONS UNLESS CUSTOMER AND SELLER HAVE SIGNED A SEPARATE AGREEMENT FOR THE puke changes, supplier price changes and errors in advertisements. All orders are subject to Product availability
PROVISION OF PRODUCT OR PERFORMANCE OF SERVICES, IN WHICH CASE THE SEPARATE AGREEMENT and file availability of Personnel to perform the Services. Therefore. Seller cannot guarantee that it will be able
WILL GOVERN. to fulfill Customer's orders. If Services are being performed on a time and materials basis, any estimates provided
by Seller are for planning purposes only
Impoill Information About These Terms and Conditions
less Terms and Conditions constitute a binding contract between Customer and Seller and are referred to Limitation of Liability
decal as either "Terms and Conditions" or this "Agreement'. Customer accepts these Terms and Conditions by UNDER NO CIRCUMSTANCES AND NOTWITHSTANDING THE FAILURE OF ESSENTIAL PURPOSE OF ANY
maki a purchase troll or placing an order with Seller or shopping on Seller's Website (ihe'Site or otherwise REMEDY SET FORTH HEREIN, WILL SELLER, ITS AFFILIATES OR ITS OR THEIR SUPPLIERS, SUBCONTRACTORS
requesting products (me "Products or engaging Seller to per €orm or procure any Services (as this and all OR AGENTS BE LIABLE FOR: (A) ANY INCIDENTAL, INDIRECT, SPECIAL. PUNITIVE OR CONSEQUENTIAL
capla6zed lens are defined herein). DAMAGES INCLUDING BUT NOT LIMITED TO, LOSS OF PROFITS, BUSINESS, REVENUES OR SAVINGS EVEN
IF SELLER HAS BEEN ADVISED OF THE POSSIBILITIES OF SUCH DAMAGES OR IF SUCH DAMAGES ARE
Customer may Issue a purchase order for administrative purposes only. Additional or different terms and OTHERWISE FORESEEABLE, IN EACH CASE, WHETHER A CLAIM FOR ANY SUCH LIABILITY IS PREMISED
conditions contained in any such purchase order will be null and void. This Agreement including the terms UPON BREACH OF CONTRACT', WARRANTY, NEGLIGENCE, STRICT LIABLITY OR OTHER THEORY OF LIABILITY:
contained in tire "Terms and Conditions' link at www cdw,coin which Customer acknowledges and agrees are (B) ANY CLAIMS, DEMANDS OR ACTIONS AGAINST CUSTOMER BY ANY THIRD PARTY: {C) ANY LOSS OR
incorporated herein by reference contains the entire understanding of the parties with respect to the matters CLAIM ARISING OUT OF OR IN CONNECTION WITH CUSTOMER'S IMPLEMENTATION OF ANY CONCLUSIONS
containerl herein and supersedes and replaces in its entirety any and all prior communications and contemporaneous OR RECOMMENDATIONS BY SELLER OR ITS AFFILIATES BASED ON, RESULTING FROM, ARISING OUT OF
alcernents and understandings, whether oral, written, electronic or implied. if any between the parties with OR OTHERWISE RELATED TO THE PRODUCTS OR SERVICES; OR (0) ANY UNAVAILABILITY OF THE PRODUCT
espect In the subject matter hereof. FOR USE OR ANY LOST, DAMAGED OR CORRUPTED DATA OR SOFTWARE. IN THE EVENT OF ANY LIABILITY
INCURRED BY SELLER OR ANY OF ITS AFFILIATES, THE ENTIRE LIABILITY OF SELLER AND ITS AFFILIATES
Governing Law FOR DAMAGES FROM ANY CAUSE WHATSOEVER WILL NOT EXCEED THE LESSER OF: (A) THE DOLLAR
THESE TERMS A,ND CONDITIONS. ANY STATEMLNTS OF WORK, THE SERVICES HEREUNDER AND ANY SALE AMOUNT PAID BY CUSTOMER FOR THE PRODUCT($ }GIVING RISE TO TSE CLAIM OR THE SPECIFIC SERVICES
OF PRODUCTS HEREUNDER WILL BE GOVERNED BY THE LAWS OF THE STATE OF iLLINCIS. WITHOUT GIVING RISE TO THE CLAIM; OR (B) $50,000.60.
RFGARC TO CONFLICTS OF LAWS RULES. ANY ARBITRATION. ENFORCEMENT OF AN ARBITRATION OR
LITIGATION WILL SE BROUGHT EXCLUSIVELY IN COOK COUNTY, ILLINOIS, AND CUSTOMER CONSENTS TO Confidential Information
TI!LJLiPiSD T10N OFTHF FEDERAL ANN) STATE COURTS LOCATED THEREIN, SUBMITS TO'rHEJURISDICTION Each party anuclpates that it may be necessary to provide access to iMormli of a confidential Paiute of such
THFHLGPANO WAIVES THE RIGHT TO CHANGE VENUE. CUSTOMER FURTHER CONSENTS' r0'FHE EXERCISE party, tine Affiliates or a third party (hereinafter referred to as "Confidential Information') to the other party ur
OF PERSONAL JURiSUICT'ION BY ANY SUCH COURT WITH RESPECT TO ANY SUCH PROCEEDING. Except In the performance of this Agreement and any Statement of Work. "Corrfldenhal Information means any Information
the use of nonpayment, neither party may institute any action in any form arising out of these Terms and or data in oral. electronic or written loin which the receiving party knows or has reason to know is proprietary
Corrditlons more tuan one (1) year alter the cause of action has arisen. The rights and remedies provided Seller or confidential and which is disclosed by a party in connection with this Agreement or which the receiving party
under these Terms and Conditions are cumulative, are in addition to, and do not limit or prejudice any other right may have access to In connection with this Agreement, Including but oat limited to the terms and conditions
or remedy available at lavvar in equity. of each Statement of Work. Confidential Information will not include information eihich. (a) becomes known to
the public through nn act of the receiving party: (b) was known to the receiving party, or becomes known to
title: Risk of loss the receiving party from a third party having the right to disclose it and having no obligation of confidentiality
If Customer provides Seller with Customer's carrier account number or selects a carrier other than a carrier that to the disclosing party with respect to the applicable information; or (c) is independently developed by agents
regularly ships for Seller, title to Products and risk of less or damage during shipment pass from Seller to employees or subcontractors of the receiving party who have not had access to such information. To the extent
Castgreer upon delivery to the carrier (F -0.8. Origin, freight collect). For all other shipments, title fo Products practicable, Confidential Information should be clearly identified of labeled as such by the disclosing party at
and risk of loss Or damage during shipment pass from Seller to Customer upon delivery to the specified destination the time of disclosure or as promptly thereafter as possible, however, failure to so identity or Zabel such as
(F -0 8. Destination, freight prepaid and added), Notwithstanding the loregping, title to software will remain with Confidential Information will not be evidence that such information is not confidenttal or protectable.
the apolicahfe Iicensor(s1, and Customer's rights therein are contained in the license agreement between such
Iicensar(s) and Customer. A purchase money security interest is retained in the Products to secure payment in Each party agrees to held the other party's Confidential Information confidential for a period of three (3) years
fufl- Customer authorizes Seller to file a financing statement reflecting such security Interest arid, If requested, following the date of disclosure and to do so in a manner at least as protective as it holds it 5 own Confidential
Cwontef will record such purchase money security interest on its books. Information of like kind but to use no less than a reasonable degree of care. Disclosures of the other party's
Confidential Information will he restricted (i) to those individuals who are participating in the performance of
Payment this Agreement or the applicable Statement of Werk and need to know such Confidential Information for purposes
Orders are not binding upon Seller until accepted by Seller Customer agrees to pay the total purchase price of providing or receiving the Products or Services orotherwise +n connection with this Agreement of the applicable
lot the Products plus shipping (to the extent shipping is not prepaid by Customer including including shipping charges Statement of Work, or (ii) to its business, legal and financial advisors, each on a confidential basis Each parry
that are billed to Seller as a result of using Customer's carrier account number. Terms of payment are within agrees net to use any Confidential Information of the other party or for any purpose other than the business
Seller's sole discretion. In connection with Services being performed pursuant to a Statement of Work, Customer purposes contemplated by this Agreement and the applicable Statement of Work. Upon the written request of
will pay fertile Services in the amounts and in accordance with any payment schedule set forth in the applicable a party, the other party will either return or certify the destruction of the Confidential Information of the other
Statement of Work. If no payment schedule is provided, Customer will pay for the Services as invoiced by Seller party.
Invoices are due and payable withip the time period specified on the invoice, measured from the date of invoice,
subject to continuing credit approval by Seller. Seller may Invoice Customer separately for partial shipments. It a receiving party is required by law, rule or regulation, or requested in any judicial at administrative proceeding
and Seller may invoice Customer for all of the Services described in a Statement of Work or any portion tl or by any governmental or regulatory authority, to disclose Confidential Information of the other party. the
Cu"lomer agrees td pay interest on all past -due sums at the lower of one and one -half percent (t.5%) per month receiving party will give the disclosing parry prompt notice of such request so that the disclosing party may seek
or the highest rate allowed by law- In the event of a payment default, Customer will be responsible for all of an appropriate protective order or similar protective measure and will use reasonable efforts to obtain confidential
Seller's coats of collection. Including, but not limited to, court costs, filing fees and attorneys' fees. In addition, treatment of the Confiders al Information so disclosed.
It nnyments are not received as described above, Seller reserves the right to suspend Services until payment is
receiar,•d- Return Privileges
To obtain Seller's return policy, Customer should contact CD'N Customer Relations at 866,SVC 4CUW or email
Export Sales at CustomerRelations @cdw.com Customer must notify COW Customer Relations of any damaged Products
If this transaction involves an export of items (including. but not limited to commodities, software or technology), within ten (10) days of receipt. FOR PRODUCTS PURCHASED FROM CDW BERBEE, CUSTOMER SHOULD
subject to the Export Ad mi list ration Regulations, such items were exported from the United States by Seller in CONTACT ITS BERBEE ACCOUNT MANAGER FOR SPECIFIC BERBEE RETURN POLICIES.
accordance with the Export Administration Regulations. Diversion contrary to United States law is prohibited.
Arbitration
Warranties Any claim, dispute, or controversy (whether in contract, tort or otherwise, whether preexisting, present or future,
Customer understands that Seller is not the manmacturer of the Products purchased by Customer hereunder and Including, but not limited to, still common law, Intentional tart and equitable claims) arising front or
and the only wautinues offered are those of the manufacturer, not Seller or its Affiliates. In purchasing the relating to the Products. the Services, the interpretation or application of these Terms and Conditions or any
L r..—......... i. In- ,,,...,,.r,..r ..,..,;...,r;. nn c .or„inn nn 1 1 emant of W-1, nr fha hr-,h ter rill nr a 14tih, the—i the rulallnn chine whirh racist from theca Tenn,
VOUCHER NO. WARRANT NO.
ALLOWED 20
CD. =.N -G
IN SUM OF
75 Remittance Drive
Chicago, IL 60675
$304.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1120 LXD5347 102 632.01 $304.00 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
OCT 2 7 2008
V v+
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))
LXD5347 Laserfax Machine $304.00
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
za
Clerk- Treasurer
The Righl l'cchnology 0 a
W.�' a; €ntaw�y: 10/15/2008 MCG9563 NET 30 Days- GovUState -Local 11/14/2008
3 VI SIT CDWG ON THE INTERNET
OUR PART NO. DESCRIPTION CITY QTY QTY UNIT PRICE TOTAL
ORD SHIP BIO
640640 PANASONIC 9.4GB DUD -RAM 3X 5 5 0 $7.99 $39.95
Manufacture Part Number: LM- HB94LU
CH INFORMATION: THE NORTHERN TRUST ROUTING NO.: 071000152
50 SOUTH LASALLE STREET ACCOUNT NAME: CDW GOVERNMENT INC
CHICAGO, IL 60675 ACCOUNT NO.: 91057
HAVE QUESTIONS ABOUT YOUR ACCOUNT? PLEASE EMAIL US AT: .credit @cdw. om
ORDER DATE SHIP VIA PURCHASE ORDER NO. CUSTOMER NO. PRODUCT
10/15/2008 DHL SUBTOTAL
Ground 18406 1674420 $39.95
SALESPERSON SHIP TO: SALES ORDER NUMBER SHIPPING $4.00
BART HECKMAN CARMEL CLAY COMMUNICATIONS
312 705 9572 JANET ARNONE SALES
31 1ST AVE NW MDL7741 TAX $0.00
barthec@cdwg.com CARMEL IN 46032 -1715
INVOICE $43
AMOUNT
CDW GOVERNMENT, INC. AN ILLINOIS CORPORATION FEIN 36- 4230110
AnnouN
I1111111111111111111111111111111A11111 111111llll Hill 11111 11111111111111111111 T ouE $4365
i
CDW Government, Inc. "CDWI Terms and Conditions of Sale
THE TERMS AND CONDITIONS ARE LIMITED TO THOSE CONTAINED HEREIN AND THE ADDITIONAL TERMS Seller will not be responsible Ior and no liability shall result to Seller or any of its Affiliates for any delays in
AND CONUITIONS CONTAINED IN THE^TERMS AND CONDITIONS" LINK AT WWW.COW.COM INCORPORATED delivery m in performance which result Irmo any circumstances beyond Seller's reasonable control, including,
HEREIN BY REFERENCE. ANY TERMS NOT DEFINED HEREIN ARE DEFINED AT WWW.COW,COM. ANY but not limited to, Product uravaiiability carrier delays delays due to fire, severe weather conditions, failure
ADDITIONAL OR DIFFERENTTERMS OR CONDITIONS IN ANY FORM DELIVERED BY YOU "CUSTOMER") ARE of power, labor problems, acts of war, terrorism. embargo, acts of God or acts or laws of any government or
HEREBY DEEMED TO BE MATERIAL ALTERATIONS AND NOTICE OF OBJECTION TO THEM AND REJECTION agency Any shipping dates of completion dates provided by Seller or any purported deadlines contained in a
OF THEM IS HEREBY GIVEN. Statement of Work or any other document are estimates only
BY ACCEPTING DELIVERY OF THE PRODUCTS OR BY ENGAGING THE COW AFFILIATE IDENTIFIED ON THE Pricing Information; Availability Disclaimer
INVOICE, STATEMENT OF WORK OR OTHER COW DOCUMENTATION "SELLER TO PROVIDE PRODUCT OR Seller reserves the right to make adjustments to pricing. Products and Service offerings for reasons including,
PERFORM OR PROCURE ANY SERVICES. CUSTOMER AGREES TO BE BOUND BY AND ACCEPTS THESE TERMS but nol limited to, changing market conditions, Produrt discontinuation, Product unavailability, manufacturer
AND CONDITIONS UNLESS CUSTOMER AND SELLER HAVE SIGNED A SEPARATE AGREEMENT FOR THE price changes, supplier price changes and errors in advertisements. All orde {s are subject to Product availability
PROVISION OF PRODUCT OR P €RFORMAMCE OF SERVICES, IN WHICH CASE THE SEPARATE AGREEMENT and the availability of Personnel to perform the Services. Therefore, Seller cannot guarantee that it will be able
WILL GOVERN. to fulfill Customer's orders. If Services are being performed on atime and materials basis, any estimates provided
by Seller are tar planning purposes only.
Important Informalfon About These Terms and Comditians
These Tr•r its' and Conditions constitute a binding contract between Customer and Selzer and are referred to Limitation of Liability
nereru el ether Terms and Conditions" or this Agreement'. Customer accepts these Terms and Conditions by UNDER NO CIRCUMSTANCES AND NOTWITHSTANDING THE FAILURE OF ESSENTIAL PURPOSE OF ANY
mak„rg a purchase ham or placing an order wnh Seller or shopping on Seller's Wehsite (1116 "Site") or otherwise REMEDY SET FORTH HEREIN, WILL SELLER, ITS AFFILIATES OR ITS OR THEIR SUPPLIERS, SUBCONTRACTORS
requesting products Ithe 'Products`) or engaging Seller to perform or procure any Services (as this and all DR AGENTS BE LIABLE FOR: {A) ANY INCIOENTAL, INDIRECT. SPECIAL, PUNITIVE OR CONSEQUENTIAL
capiiar¢ed leans we defined herein), nAMAGES INCLUDING BUT N07 LIMITED TO, LOSS OF PROFITS, BUSINESS, REVENUES OR SAVINGS EVEN
IF SELLER HAS BEEN ADVISED OF THE POSSIBILITIES OF SUCH DAMAGES OR IF SUCH DAMAGES ARE
Customer may issne a purchase order for administrative Purposes only. Additional or difleient terms and OTHERWISE FORESEEABLE, IN EACH CASE, WHETHER A CLAIM FOR ANY SUCH LIABILITY IS PREMISED
conditions contained in ariv such purchase order will he null and void, This Agreement including the terms UPON BREACH OF CONTRACT, WARRANTY, NEGLIGENCE, STRICT LIABLITY OR OTHER THEORY OF LIABILITY;
contained In the 'Terms and Conditions' link at v cum which Customer acknowledges and agrees are (B) ANY CLAIMS, DEMANDS OR ACTIONS AGAINST CUSTOMER BY ANY THIRD PARTY; (C) ANY LOSS OR
incorporated herein by reference contains the entire understanding of the parties with respect to the matters CLAIM ARISING OUT OF OR IN CONNECTION WITH CUSTOMER'S IMPLEMENTATION OF ANY CONCLUSIONS
contained he'ern and sepetsetlesand replaces in its entirety any arid all prior crop municelions and contemporaneous OR RECOMMENDATIONS BY SELLER OR ITS AFFILIATES BASED ON, RESULTING FROM. ARISING OUT OF
aq—trerits and tuderstandmgs whether oral written, electronic or implied, if any. hetwaen the parties with OR OTHERWISE RELATED TO THE PRODUCTS OR SERVICES; OR (D) ANY UNAVAILABILITY OF THE PRODUCT
respect tri the subject matter hereof, FOR USE OR ANY LOST, DAMAGED OR CORRUPTED DATA OR SOFTWARE. IN THE EVENT OF ANY LIABILITY
INCURRED BY SELLER OR ANY OF ITS AFFILIATES, THE ENTIRE LIABILITY OF SELLER AND ITS AFFILIATES
Governing Law FOR DAMAGES FROM ANY CAUSE WHATSOEVER WILL NOT EXCEED THE LESSER OF: (A) THE DOLLAR
THESF TERMS AND CONDI i IONS, ANY STA FEMEf,<TS OF WORK.'I'HF SERVICES HEREUNDER AND ANY SALE AMOUNT PAID BY CUSTOMER FOR THE PRODUCT(S) GIVING RISETO THE CLAIM OR THE SPECIFIC SERVICES
OF PRi;Dll0T5 I0',[UNDLR 4 BE GOVEf'NED BY THE LA'VVS OF THE STATE OF ILLINOIS, WITHOUT GIVING RISE TO THE CLAIM; OR (B) $50,000.00.
RFGARO TO CONFLICTS OF LAWS RULES. ANY ARBITRATION, ENFORCEMENT OF AN ARBITRATION OR
LITIGATION WILL BE BnOUGHT EXCLUSIVELY IN COOK COUNTY, ILLINOIS. AND CUSTOMER CONSENTS TO Confidential Information
THE IUR'SFAMI Or, OF THE FFDLPAII STA''E COURTS LOCATED THEREIN, SUBMITS TO THE JURISDICTION Each partganocipales that if may be necessary to provide access to Information of a confidential nature of such
her ^r ,ri:C WAI ITS ttlL TC CHANGE VENUE. CUSTOMER FURTHER CONSENTS TO THE EXERCISE ;tarty, Inc Alydoles or a third Party !hereinafter referred fir as "Confidential Intonnation') to the offer party in
4R= •)lhAl SLR „CICT ON 3y ANV 5UCtt =-Rf WITH RESPECT TO ANY SUCH PROCEEDING Except In the performance of Ibis Agreement and any Statemen of Work_ "Confid6ntial Information means any f ounatron
,on;,a;rprnt, n„ prier party may it suture any action in any torn arising out of these Terris and or data in mat. electronic or written from which the receiving party knows or has reason to kne,v is proprfetery
more thin are (1) ra; alter the ce.use of acro n has arisen. The rights and remedies provided Seller or confidentat and which is disclosed by a party in connection witlf this Agreement or which [he receiving party
e.,Jo: f iese ,elme and Gol,dlrons arecmnula,rve. are m addllion to, and du not limrt or prejudice arty other right may have access to in connection with this Agreement, including bat not limited to the terms and conditions
or remedy available at law at equity. of each Statement of Work. Confidential Information will not include information which: (a) becomes known to
the citric through no act of the receiving party; (b) was known to the receiving party, or becomes known to
Till Risk of Loss the receiving party from a_ third party having the right to disclose it and having no obligation of confidentiality
If Customer provides Seller with Customers cantor account number or selects a carrier other than a earlier that to the disclosing party with respect to the applicable information; or (c) Is independently developed by agents
regularly ships for Seller, title to Products and risk of Toss or damage during shipment pass from Seller to employees or subcontractors of the receiving party wine have not had access to such Information. To the extent
CLslelrier upon delivery to the carrier (ED.R. Origin, freight collect). Foi all other shipments, title to Products practicable, Confidential Information should be clearly identified or labeled as such by the disclosing party at
and risk of loss or damage during shipment pass from Seller to Customer upon delivery to the specified destination the time of disclosure or as promptly thereafter as possible, however, failure to so identify or Zabel such as
!FOB. Destination, freight prepaid and added). Noiwithslanding the foregoing, title to software will remain with Confidential htformation will not be evidence that such information is not confidential or protectable.
trio applicable hcenscrsi. and Customer's rights therein are contained fr the license agreement between such
licensor is) am Customer A purchase money security interest is retained in the Products to secure payment in Each party agrees to hold the other party's Confidential Information confidential for a period of three (3) years
full Customer authonzes Seller to file a financing statement reflecting such security interest and. It regnested, following the date of disclosure and to do so in a manner at lead as protective as it holds it's own Confidential
Custoarei vnll record such purchase money security interest on its books. Informatlon of like kind but to use be less than a reasonable, degree of care. Disclosures of the other party's
Confidential Information will he restricted (i) to these individuals who are participating in the performance of
Payment this Agreement or the applicable Statement of Work and need to know such Confidential Information for purposes
Orders are not binding upon Sayler until accepted by Seller. Customer agrees to pay the total purchase price of providing or receiving Inc Products or Services or otherwise in connection viiih this Agreement of the applicable
for rho Products plus shipping (to the extent shipping is not prepaid by Customer) Including shipping charges Statement of Welk, or fr) to its business, legal and financial advisors, each on a confidential basis, Each party
that are dried to Seller as a result of using Customer's carrier account nuniber. Terms of payment are within agrees not to use any Confidential Information of the other party or for any purpose other than the business
Seder's sole discretion, In connection with Services being performed pursuant to a Statement of Work, Customer purposes contemplated by this Agreement and the applicable Statement of Work. Upon the written request of
v,ill pay for the Services In the amounts and In accordance with any payment schedule set forth in the applicable a party, the other party will e'uherrctum or certify the destruction of the Confidential Information of the other
Statement of Work. If no payment schedule is provided. Customer will pay for the Services as invoiced by Seller, party.
Invoices are due and payable within the lime period specified on the invoice, measured from the date of Invoice,
subject to continuing credit approval by Seller Seller may invoice Customer separately for partial shipments, It a receiving party is required by law, rule or regulation_ or requested in any judicial or administrative proceeding
and Seller may invoice. Customer for all of the Services described in a Statement of Work or any portion thereof. or by any governmental or regulatory authority, to disclose Confidential Information of the other party, the
Customer agrees to pay Interest on all past -due sums at the lower of one and one -half percent (1.5 per month receiving party will give the disclosing party prompt notice of such request so that the disclosing party may seek
or life highest rate allowed by law. In the event of a payment defaull, Custpmor will be responsible for all of an appropriate protective order or similar protective measure and wilt use reasonable efforts to obtain confidential
Seller's costs of collecrom including, but not limited to court costs, filing fees and attorneys' fees. In addition, treatment of Ilia Confidential Information so disclosed.
if payments are not received as described above, Seller reserves the right to suspend Services until payment is
received Return Privileges
To obtain Seller's return policy, Customer should contact COW Customer Relations at 86TSVC.4CDW or email
Export Sales at CustomerRelationsacdw sour Customer must niefity COW Customer Relations of any damaged Products
If this transaction Involves an export of items (including, but not limited to commodities, software or technology), within ten (10) days of receipt FOR PRODUCTS PURCHASED FROM COW FERREE, CUSTOMER SHOULD
subject to the Export Administration Regulations, suchil ernsWereexporteci fromtheUnitedStatesbySeilerin CONTACT ITS BERBEE ACCOUNT MANAGER FOR SPECIFIC BERBEE RETURN POLICIES.
accordance With the Export Administration Regulations. Diversion contrary to United Slates law is prohibited.
Arbitration
Warranties Any claim, dispute, or controversy (whether in contract, tort or otherwise, whether preexisting, present or future,
Customer understands that Seller is not the manufacturer of the Products purchased by Customer hereunder and including, but not limited to, statutory, common law, intentional tort and equitable claims) arising from or
and Inc only warrdnbes offered are those of the manufacturer. not Seller or its Affiliates. In purchasing the relating to the Products, the Services, me'mteipretation or application of these Terms and Conditions or any
Products. Customer is relying on the manufacturers specifications only and is not relying on any statements. Statement of Work of the breach,ierminalion or validity thereof, the relationships which result from these Terms
VOUCHER NO. WARRANT NO.
ALLOWED 20
CDW Government, Inc
IN SUM OF
75 Remittance Drive, Ste 1515
Chicago, IL 60675
$43.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 MCG9563 42- 302.00 $43.95 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
Monday, October 27, 2008
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))
10/15/08 I MCG9563 I $43.95
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
na The RightTechnology. INV INV OI CE N UMBER INV OICE
WG RighlAway.T" 10!1512008 MCF4147 NET 30 Days- GovUState -Local 11/14/2008
VISIT CDWG ON THE INTERNET
OUR PART NO. DESCRIPTION OTY QTY OTY UNIT PRICE TOTAL
ORD SHIP B/0
978593 KEN USB NB DOCKING STATION 1 1 0 $148.00 $148.00
Manufacture Part Number: 33367
1 C; f 21M) E5 l
f�?�?�. ref C�mm«n,ity Senlil'�1`�
.r
ACH INFORMATION: THE NORTHERN TRUST ROUTING NO.: 071000152
50 SOUTH LASALLE STREET ACCOUNT NAME: CDW GOVERNMENT INC
CHICAGO, IL 60675 ACCOUNT NO.: 91057
HAVE QUESTIONS ABOUT YOUR ACCOUNT? PLEASE EMAIL UE AT: credit @cdw. om
ORDER DATE SHIP VIA PURCHASE ORDER NO. CUSTOMER NO.
10115/1 0 08 DHL Ground 19712 1674420 PRODUCT $148.00
SUBTOTAL
SALESPERSON SHIP TO:
SALES ORDER NUMBER SHIPPING $6.00
BART HECKMAN CITY OF CARMEL
312 705 9572 DEPT OF COMM SERVICE S ALES
1 civic so MDL8355 TAX $0.00
barthec@cdwg.00m CARMEL IN 46032.7569
INVOICE $154.00
AMOUNT
CDW GOVERNMENT, INC. AN ILLINOIS CORPORATION FEIN 36- 4230110
1111111111111111111111111111111111111111111111111 Hill 1111111111111111111111111111 AMOUNT DUE $154.00
CDW Government, Inc. "CDW•G Terms and Conditions of Sale
THE TERMS AND CONDITIONS ARE LIMITED TO THOSE CONTAINED HEREIN AND THE ADDITIONAL TERMS Seller will not be responsible for and no liability shall result to Seller or any of its Affiliates fen any delays in
AND CONDITIONS CONTAINED IN THE'TERMS AND CONDITIONS" LINK AT WWW.COW.COM INCORPORATED delivery or in performance which result from any circumstances beyond Seller's reasonable control, including,
HEREIN BY REFERENCE. ANY TERMS NOT DEFINED HEREIN ARE DEFINED AT WWW.CDW.COM. ANY but not limited to, Product unavailability, carrier delays, delays due to lire, severe weather conditions, failure
ADDITIONAL OR DIFFERENTTERMS OR CONDITIONS IN ANY FORM DELIVERED BY YOU "GUSTOMER "j ARE of pourer, labor problems, acts of war, terrorism, embargo, acts of God or acts or laws of any government or
HEREBY DEEMED TO BE MATERIAL ALTERATIONS AND NOTICE OF OBJECTION TO THEM AND REJECTION agency. Any shipping dates or completion dates provided by Seller or any purported deadlines contained in a
OF THEM IS HEREBY GIVEN. Statement of Work or any other document are estimates only.
BY ACCEPTING DELIVERY OF THE PRODUCTS OR BY ENGAGING THE COW AFFILIATE IDENTIFIED ON THE Pricing Information; Availability Disclaimer
INVOICE, STATEMENT OF WORK OR OTHER COW DOCUMENTATION "SELLER TO PROVIDE PRODUCT OR Seller reserves the right to make adjusUnents to pricing, Products and Service offerings for reasons including
PERFORM OR PROCURE ANY SERVICES, CUSTOMER AGREES TO BE BOUND BY AND ACCEPTS THESE TERMS but not limited td, changing market conditions. Product discontinuation, Product unavailability. manufacturer
AND CONDITIONS UNLESS CUSTOMER AN13 SELLER HAVE SIGNED A SEPARATE AGREEMENT FOR THE price changes. supplier price changes and errors in advertisements. All orders are subject to Product availability
PROVISION OF PRODUCT OR PERFORMANCE OF SERVICES, IN WHICH CASE THE SEPARATE AGREEMENT and the availability of Personnel to perform the Services. Therefore. Seller cannot guarantee that it will be able
WILL GOVERN. to fulfill Customers orders. If Services are being performed on a time and materials basis, any estimates provided
by Seller are for planning per only.
Important Information About These Terms and Conditions
These Tenns and Conditions constitute a binding contract between Customer and Seller and are I red to Limitation of Liability
herein as either "Forms and Conditions" or this "Agreement Customer accepts these Terms and Conditions by UNDER NO CIRCUMSTANCES AND NOTWITHSTANDING THE FAILURE OF ESSENTIAL PURPOSE OF ANY
making a purchase from or placing an order with Seller or shopping on Seller's Website (the "Site') or otherwise REMEDY SET FORTH HEREIN, WILL SELLER, ITS AFFILIATES OR ITS OR THEIR SUPPLIERS, SUBCONTRACTORS
equesting products (the "Products or engaging Seller to perform or procure any Services (as this and all OR AGENTS BE LIABLE FOR: (A) ANY INCIDENTAL, INDIRECT, SPECIAL, PUNITIVE OR CONSEQUENTIAL
capitalized terms are defined heminj. DAMAGES INCLUDING BUT NOT LIMITED TO, LOSS OF PROFITS, BUSINESS, REVENUES OR SAVINGS EVEN
IF SELLER HAS BEEN ADVISED OF THE POSSIBILITIES OF SUCH DAMAGES OR IF SUCH DAMAGES ARE
Customer may issue a purchase order for administrative purposes only. Additional or different terms and OTHERWISE FORESEEABLE, IN EACH CASE. WHETHER A CLAIM FOR ANY SUCH LIABILITY IS PREMISED
conditions contained in any such purchase order will be null and void. This Agreement Including the per UPON BREACH OF CONTRACT, WARRANTY, NEGLIGENCE, STRICT LIABILITY OR OTHER THEORY OF LIABILITY:
contained in the 'Terms and Conditions" link at www.cdw I which Customer acknowledges and agrees are (B) ANY CLAIMS, DEMANDS OR ACTIONS AGAINST CUSTOMER BY ANY THIRD PARTY; (C) ANY LOSS OR
ncorporaled herein by reference contains the entire understanding of the parties with respect to the matters CLAIM ARISING OUT OF OR IN CONNECTION WITH CUSTOMER'S IMPLEMENTATION OF ANY CONCLUSIONS
contained herein and supersedes and replaces in its entirety any and all prior communications and contemporaneous OR RECOMMENDATIONS BY SELLER OR ITS AFFILIATES BASED ON, RESULTING FROM, ARISING OUT OF
agreements and understandings, whether all written, electronic or implied, if any, between the parties with OR OTHERWISE RELATED TO THE PRODUCTS OR SERVICES; OR (0) ANY UNAVAILABILITY OF THE PRODUCT
respect to the subject matter hereof. FOR USE OR ANY LOST, DAMAGED OR CORRUPTED DATA OR SOFTWARE. IN THE EVENT OF ANY LIABILITY
INCURRED BY SELLER OR ANY OF ITS AFFILIATES, THE ENTIRE LIABILITY OF SELLER AND ITS AFFILIATES
Governing Law FOR DAMAGES FROM ANY CAUSE WHATSOEVER WILL NOT EXCEED THE LESSER OF: (A) THE DOLLAR
THESE TERMS AND CONDITIONS, ANY STATEMENTS OF WORK, THE SERVICES HEREUNDER AND ANY SALE AMOUNT PAID BY CUSTOMER FOR THE PRODUCT(S) GIVING RISETO THE CLAIM ORTHE SPECIFIC SERVICES
OF PRODUCTS HEREUNDER WILL BE GOVERNED BY THE LAWS OF THE STATE OF ILLINOIS, WITHOUT GIVING RISE TO THE CLAIM; OR (B) $50,000.00.
REGARD TO CONFLICTS OF LAWS RULES. ANY ARBITRATION, ENFORCEMENT Or AN ARBITRATION OR
1111CATI0N WILL BE BROUGHT EXCLUSIVELY IN COOK COUNTY. ILLINOIS. Al CUSTOMER CONSENTS TO Conlidential Information
THE JURISDICTION OFTHE FEDERALAND STATE COURTS LOCATED THEREIN. SUBMITSTO THEJURISDICTION Each party anticipates that it may be necessary to provide access to inlormation of a confidential nature of such
THEREOF AND WAIVES THE RIGHT TO CHANCE VENUE_ CUSTOMER FURTHER CONSENTS TO THE EXERCISE party, the Affiliates or a third party (hereinafter referred to as "Confidential Information to the other party in
OF PERSONAL JURISDICTION BY ANY SUCH COURT WITH RESPECT TO ANY SUCH PROCEEDING. Except In the performance orfhls Agreemom and any Statement of Work. "Confidential Intel rotion" means any information
the case of nonpayment, neither party may institute any action in any term arising out of these Terms and or data in oral, electronic or written form which the receiving party knows or has reason to know is proprietary
Conditions more than one (1 year after the cause of action has arisen. The rights and remedies provided Seller or confidential and which is disclosed by a party in connection with this Agreement or which the receiving party
under these Terms and Conditions are cumulative, are in addition to and do not limit or prejudice any other right may have access to in conoecllon with this Agreement, including but not limited to the terms and conditions
or remedy available at law or in equity. of each Statement of Work, Confidential Information will not include information which: (a) becomes known to
the public through no act of the receiving party: (b) was known to the receiving party, or becomes known to
Title; Risk of Lass the receiving party from a third party having the right to disclose it and having no obligation of confidentiality
It Guslomo-r provides Seller with Customer's carrier account number or selects a carrier other than a carrier that to the disclosing party with respect to the applicable informarom, or (c) is independently developed by agents
regularly ships for Seller, title to Products and risk of loss or damage during shipment pass from Seller to employees or subcontractors of the receiving party who have not had access to such information. To tfie extent
Customer upon delivery to the carrier (F.O.B. Origin, freight collect). For all other shipments, title to Products practicable. Confidential Information should be clearly Identified or labeled as such by the disclosing party at
and risk of loss or damage during shipment pass from Seller to Customer upon delivery to the specified destination the time of disclosure or as prernptly thereafter as possible, however, failure to sit identify or label such as
IF,0 B. Destination, height prepaid and added) Notwithstanding the foregoing, title to software will remain with Confidential Information will not be evidence that such information Is not confidential or protectable-
ihe applicable hcensor(s) and Customer's rights therein are contained in the license agreement between such
icensor(s) and Customer. A purchase money security interest is retained in the Products to secure payment in Each party agrees to hold the other party's Confidential Information confidential for a period of three (3) years
full. Customer authorizes Seller to file a financing statement reflecting such security interest and. if requested, following the date of disclosure and to do so in a manner at least as protective as it holds it's own Confidential
Customer will record such purchase money security interest on its books. Information of like kind but to use act less than a reasonable degree of care. Disclosures of the other party's
Confidential Information will be resirleted (1) to those individuals who are participating in the performance of
Payment this Agreement or the applicable Statement of Work and need to know such Confidential Information for purposes
Orders are not binding upon Seller until accepted by Seller. Customer agrees to pay the total purchase price of providing or receiving the Products or Services or otherwise in connection with this Agreement of the applicable
for the Products plus shipping (to the extent shipping is not prepaid by Customer), including shipping charges Statement of Work, or (n) to its business, legal and financial advisors each on a confidential basis. Each party
that are billed to Seller as a result of using Customer's carrier account number_ Terms of payment are within agrees not to use any Confidential Information of the other party a for any purpose other than the business
Seller's sole discretion, In connection with Services being performed pursuant to a Statement of Work, Customer purposes contemplated by this Agreement and the applicable Statement of Work. Upon the written request of
will pay tot the Services in the amounts and in accordance with any payment schedule set north in the applicable a party, the other party will either return or certify the destruction of the Confidential Information of the other
Statement of Work. If no payment schedule is provided. Customer will pay for the Services as Invoiced by Seller. party.
Invoices are due and payable within the tune period specified on the invoice, measured from the dale of invoice,
subject to continuing credit approval by Seller. Seller may invoice Customer separately for partial shipments. If a receiving party is required by law, rule or regulation, or requested in any judicial or administrative proceeding
and Seller may invoice Customer for all of the Services described in a Statement of Work or any portion thereof. or by any governmental or regulatory authority. to disclose Confidential Information of the other party, the
Customer agrees to pay interest on all past -due sums at the lower of one and one -half percent (1.5%) per month receiving party will give the disclosing party prompt notice Of such request so that the disclosing party may seek
or the highest rate allowed by law, In the event of a payment default, Customer will be responsible for all of an appropriate protective order or similar protective measure and will use reasonable efforts to obtain confidential
Seller's costs of collection, including, but not limited to, court costs, filing fees and atforneys' fees. In addition, treatment of the Confidential Information so disclosed,
it payments are not received as described above, Seller reserves the right to suspend Services until payment is
received. Return Pfiviteges
To obtain Seller's return policy, Customer should contact COW Customer Relations at 866SVC 4CDW or email
Export Sales at CustomerRelatidnsocdw soul Custorer must notify COW Customer Relations of any damaged Products
It this transaction involves an export of items (including, but not limited to commodities, software or technology), within ten (10) days of receipt. FOR PRODUCTS PURCHASED FROM COW BERBEE CUSTOMER SHOULD
suhj8ct to the Export Adminighrandor Regulations, such items were, exported from the United Slates by Faller in CONTACT ITS BERBEE ACCOUNT MANAGER FOR SPECIFIC BERBEE RETURN POLICIES.
accordance wifh the Export Administration Regulations- Diversion contrary Id United States law is prohibited.
Arbitration
Warranties Any claim, dispute, or controversy (whether in contract, tort or othenvise, whether preexisting, present or future,
Customer understands that Seller is not the manufacturer of the Products purchased by Customer hereunder and including, but not limited to. statutory, common law, intentional tort and equitable claims) arising from or
and the only warranties offered are those of the manufacturer, not Seller or its Affiliates. In purchasing the relating to the Products, the Services, the interpretation or application of these Terms and Conditions or any
Prndnrts cu<tnmpr s rnlvinn nn the manufacturer's snecihcafinns only and is not reivino on acv statements. Statement of Work or the breach, termination or validity thereat, the relationships which resultfrom these Terms
Ci INDIANA RETAIL TAX EXEMPT PAGE
ty C rmel CERTIFICATE NO. 00312D155 002 0 PURCHASE ORDER NUMBER
oocl y FEDERAL EXCISE TAX EXEMPT IQ 712-
I 35- 60000972
ONE CIVIC SQUARE C THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 �J L VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORIVI`APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
51p&
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CIO V (er am
I
j4f) 6C, jl...� ����?c1�; I SHIP �.G���. s� V/W� s
VENDOR Ff:
TO
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
f 1 1� O Al f3 ILI E. 00
,ter
0 0
r >:f 9
Send Invoice To: Cf 1 V
r� (.VI'
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
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 THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 1 4 M2 S#O f j
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
1 9 7 CLERK TREASURER
DOCUMENT CONTROL NO M. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO._____.-
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Pp# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT I hereby certify that the attached invoices 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
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
yvhom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
w C_ Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 15q Q
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 2Q
J IN SUM OF
C�
ON ACCOUNT OF APPROPRIATION FOR
AW �S
1 q 71 Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT, a I hereby certify that the attached invoice(s), or
/9 a MCF-4 D 1,5 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
120 oe
Signat re
r
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund