155307 01/10/2008 CITY OF CARMEL INDIANA VENDOR: 354609 Page 1 of 1
0 ONE CIVIC SQUARE GLOBAL GOVT /ED CHECK AMOUNT: $33.00
CARMEL, INDIANA 46032 C/O SYX SERVICES
o PO BOX 442949 CHECK NUMBER: 155307
MIAMI FL 33144 -2949
CHECK DATE: 1/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350000 P9211267 33.00 EQUIPMENT REPAIRS M
PLEASE REMIT TO:
GOV'T/EDUCATION SOWTIONS INC. Global GOVVEd
c/o SYX Services c/o SYX Services
P.O. Box 442949 P.O. Box 442949
Miami, FL 33144 -2949
Miami, FL 33144 -2949 Federal I.D. #20 -0272419
PH 888- 237 -6696
Fax: (305) 415-2886
S HIP TO (IF OTHER THAN "SOLD TO
PLEASE REFER TO YOUR ACCOUNT NO.. OUR INVOICE AND YOUR ACCOUNT TODD LUCKOSK I
ORDER NO. IN ALL COMMUNICATIONS REGARDING THIS INVOICE 0092023688 CARMEL -CLAY COMMUNICATIONS
31 FIRST AVE NW
SOLD CARMEL, IN 46032
TO: CITY OF CARMEL IN
ACCOUNTS PAYABLE L
ONE CIVIC SQUARE
CARMEL, IN 46032
TODDORDER1205 12107107
L YOUR PURCHASE ORDER NUMBER AND DATE
OUR DATE SHIPPED VIA DATE SHIPPED Payment Due INV. NO ORDER NO INV. I aymen 1, Due by 12123 01
P92112670101 12/08/07 UPS GROUND 12107107
ORDERED SHIPPED ITEM NO. DESCRIPTION UNIT PRICE EXTENDED AMOUNT
TODD LUCKOSKI
1 1 C184 -28006 CTG 50ft HD15 M/F SVGA Monitor Cable W/ Ferrites 29.00 29.00
D
Prescribed by tate Board of Accounts a,,' City Form No. 201 (Rev. 1995)
r 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))
n
1
t
Total
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 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE 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
2 .c,-4.
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund