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157502 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 00352582 Page 1 of 1 ONE CIVIC SQUARE HEARTLAND SERVICES INC CARMEL, INDIANA 46032 14206 OVERBROOK CHECK AMOUNT: $717.83 LEAWOOD KS 66224 CHECK NUMBER: 157502 CHECK DATE: 3/19/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350900 HSIO16039S 717.83 OTHER CONT SERVICES 1 PPC0428071 AIV Please Pay From This i ianasonic INVOICE BillinQAccf. 9- 00044612 Remit To: HEARTLAND SERVICES, INC. ACCOUNTS PAYABLE 14206 Overbrook CARMEL INDIANA FD Leawood, IBS 66224 ONE CIVIC SQUARE (913) 685 -8855 (913) 685 -8555 Fax CARMEL, IN 46032 ShippinQAddress Invoice Number HSI0160395 TOM SMALL Date of Invoice 2/26/2008 CARMEL INDIANA FD P.O. Number 12568 2 CIVIC SQUARE Payment Due Net 30 CARMEL, IN 46032 SHIP VIA: DHL Model: CF- 18KJHMBBM Serial: 6AKYB65218 Description Amount O/W WHOLE UNIT DIAGNOSTICS FEE* $130.00 LCD UNIT ASS'Y $517.85 DC IN LID RUBBER $9.99 USB LID RUBBER $9.99 +HARDWARE REPAIR/REPLACE INS($3,000 MAX) $15.00 Subtotal: $682.83 Shipping/Handling: $35.00 *Sales Tax: $0.00 Total: $717.83 This charge applies even if you choose not to repair the unit. Kansas customers must pay sales tax on all charges. Coverage protects against lost or damaged hardware, either to or from Heartland Services. The maximum value of any covered hardware, repair or replacement is $3,000.00. Repair or replacement is at the sole discretion of Heartland Services, Inc. Software and non- Panasonic hardware accessories are not covered under this program. A decline of this coverage program results in the customer taking full responsibility of any damage or loss while unit is in transit. Labor and replaced parts are warranted for thirty (30) days. This warranty covers failures due only to defects in materials or workmanship that occur during normal use. Warranty excludes customer abimfleartland Services, Inc. makes no warranties, express or implied, with respect to the software programs used or its medium. Heartland will not be responsible for any loss of data. Returns are subject to a 15% restocking fee. All sales final after 30 days. Printed Date: THANK YOU FOR YOUR BUSINESS! 2/26/2008 Visit our web site at www.heartlandsi.com 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)) 02/26/08 HS10160395 Repair MDC $717.83 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Heartland Services, Inc. IN SUM OF 14206 Overbrook Leawood, KS 66224 $717.83 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 HS10160395 43- 509.00 $717.83 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 Title Cost distribution ledger classification if claim paid motor vehicle highway fund