HomeMy WebLinkAbout200426 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 363056 Page 1 of 1
ONE CIVIC SQUARE FEDERAL FIELD SERVICES
CHECK AMOUNT: $1,160.00
CARMEL, INDIANA 46032 12660 COUNTRY ROAD L
u; o WAUSEON OH 43567 CHECK NUMBER: 200426
CHECK DATE: 8/17/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350000 27637 1683 1,160.00 STROBE /PROGRAMMING /IN
f deral Invoice
F I E L D S E R V I C E S Date Invoice
12660 County Road L Wauseon, OH 43567 419.335.1800 8/3!2011 1683
Sill To Ship To
City of Carmel
Attn: Todd Luckowski
One Civic Square
Carmel, IN 46032
P.O. No. Terms Job
27637 Due on receipt
Item Quantity Description Rate Amount
Part Sale l I -UNIO Informer VHF, Dual relay 1/0 615.00 615.00
Part Sale I I -FSK i SK Decoder Board, installed 120.00 120.00
Part Sale 1 I -PROD Informer Programming 50.00 50.00
Part Sale 1 IS2 Informer Strobe 340.00 340.00
Shipping Shipping Handling 35.00 35.00
Total $1,160.00
INDIANA RETAIL TAX EXEMPT PAGE er
C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 27637
35- 60000972
ONE CIVIC STARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
5/1312011
Federal Field Services Carmel Communication Center
VENDOR SHIP 31 1 s t Av NW
230 E. Main Street TO Carmel, IN 46032
Plainfield, IN 46166 (317) 571 -2566
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
A ccount 43- 500.00
1 Each Informer Strobe IS2 $340.00 $340.00
1 Each Informer Programming I -PROG $50.00 $50.00
1 Each FSI4 Decoder Board, Installed I -FSK $120.00 $120.00
1 Each Informer, VHF Dual Relay UO 1 10", $615.00 $615.00
1 Each shipping $35.00 $35.00
Sub Total: $1,160.00
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P 'C r`� I 444 111 1
Send Invoice To:
Carmel Communication Center
31 1 st Ave NW
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Communications PAYMENT $1,160.00
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 AFFIDAVITATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBDGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. Director
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL No-27637 A .P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
OIL 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
20
signature
Title
Cost distribution ledger: classification it
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Federal Field Services
0 L IN SUM OF
Vra ln Strest
$1,160.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
27637 1683 I 43- 500.00 $1,160.00 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
Wednesday, August 10, 2011
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))
08/03/11 1683 $1,160.00
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