HomeMy WebLinkAbout199741 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 353840 Page 1 of 1
'•j ONE CIVIC SQUARE XYBIX SYSTEMS INC
CARMEL, INDIANA 46032 8207 SOUTHPARK CIRCLE CHECK AMOUNT: $367.90
LITTLETON CO 80120 CHECK NUMBER: 199741
CHECK DATE: 7120/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350000 16219 367.90 EQUIPMENT REPAIRS M
A I Phone: 303 683 -5656
�t
Xybix Systems, Inc. Fax: 303- 683 -5454
8207 SouthPark Circle� Qy�
Littleton CO 80120
-A Invoice: 16219
INvOOCE Page: 1 of 1
Date. 7/7/2011
Sold To: Ship To:
Brian Smith
Carmel Clay Comm Center Carmel Clay Comm Center
31 1 st Ave N. W. 31 1 st Ave N.W.
Carmel IN 46032 Carmel IN 46032
USA
___.Fax: 31.7571, =2585
PO Number: 27649 Terms: NET 30 F. 0. B: FOB -LIT
Sales Rep: DAVE BERGLUND Ordered: 7/7/2011 Ship Via. UPS -31RD DAY
Packing Slip: 4911 Order 14790 Ship Date: 7/7/2011
PackSlip Line Quantity Part NumberlDesc:r ption Revisign Unit Pnce Dascount l= zt
P
1 1.00 Other A 0.00 EA 0.00
SO Ref. 5 Other Charges Services
Line (1) Miscellaneous Charges
Description Amount
10.) Freight UPS NonTaxable 17.00
2 1.00 13171 C 605.00 EA 350.90
Sales Kit. SO Ref. 1 Task Light Trillium LED Kit 254.10
Pa hedule To tal: 367.90
Due,D.ate, 'Am'ounfi`
1 8%6/2011 367.90
Total 367.90
ARForm.001 X00
Prescribed by Stale 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))
07/07/11 16219 $367.90
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
XYBIX Systems
IN SUM OF
8207 SouthPark Circle
Littleton, Co 80120
$367.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 I 16219 I 43- 500.00 I $367.90 1 hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, July 13, 2011
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund