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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 wj A �s 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