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158974 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 178620 Page 1 of 1 ONE CIVIC SQUARE KUSTOM SIGNALS, INC e 1' CHECK AMOUNT: $226.13 CARMEL, INDIANA 46032 Po aox 411862 on A17N: ACCTS REC CHECK NUMBER: 158974 KANSAS CITY MO 64141.1682 CHECK DATE: 413012008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 R4350000 15881 353657 226.13 MICROPHONES Invoice Number 353657 Invoice Illl I III I III I III III KUSTOM SIGNALS, INC. Customer Copy 5 Invoice Date 04/21/08 A PUBLIC SAFETY EQUIPMENT COMPANY REMIT TO Customer Number 16673 1010 W. Chestnut P.O. Box 947 KUSTOM.SIGNALS Chanute, KS 66720 -0947 PO'BOX 411882, Order Number 135111 SR (620) 431 2700 Fax (620) 431 2734 KANSAS_CITY, Q 64141 1882 Customer PO Car 23 SOLD TO Page 1 of 1 CARMEL POLICE DEPT SHIP TO POLICE DEPT HDQTRS CARMEL POLICE DEPT 3 CIVIC SQUARE POLICE DEPT HDQTRS CARMEL IN 46032 3 CIVIC SQUARE CARMEL IN 46032 Nei Due Date05 /21x08 Terms net 30 Shipping UPS 23961 �r t uanttty�x Extended ZIA Pa rtNurnfier �DESGRIPTION/ Serta! #Price F Shipped p y��. 2 015 0486 -OOR RECORDER VHS AG -720 Web 23961 Serial ES 01431 OW 05/01/99 No video on tape. Only snow. Cleaned heads with no improvement. Jason Ogle P: 317- 733 -4600 F: 317 733 -6257 jogle @carmel.in.gov 1 187 0170 -00 GASKET, 720 LKR FRONT 2.35 2.35 1 222 2300 -11 CS VIDEO PART 6.48 6.48 1 222 2300 -11 CS VIDEO PART 30.30 30.30 10 111- 1111 -12 COW Video Labor tenths of hr 7.50 75.00 707 -tech aide time. 1 888- 8888 -36 CS FREIGHT GROUND 37.00 37.00 10 111 1111 -12 OOW Video Labor tenths of hr 7.50 75.00 S/S ES01431 W /AG720 K7WA10292. REPLACED LID GASKET, (DAMAGED), PAN CAPSTAN BELT, (WORN) PAN PINCH ARM (BROKEN). SOFT RESET, CLEANED HEADS FUNCTION TESTED. CHECKED OK. REMIT TO: FEDERAL ID 43- 1757730 I Subtotal 226.13 KUSTOM SIGNALS, INC. Ill Ilfll Il IIIIIIIIIIIIIIII Tax 0.00 PO BOX 411882 KANSAS CITY, MO 64141 -1882 TOTAL 226.13 WWW.KUSTOMSIGNALS.COM KUSTOM SIGNALS, INC. TERMS AND CONDITIONS APPLICABILITY. Unless otherwise specified CONNECTION WITH THIS PURCHASE ORDER IS in a written bid; •quote or contract, following terms and LIMITED TO THE AMOUNT PAID FOR THE GOODS. conditions:shalGapply:' t 4. r`E.INDEMNIFICATION. Buyer will.inderiinify 2. PRICES AND TAXES Prices;will be Kustom 1- •d'efend and holdtSeller harmless' from all losses; damages, l Signals, Inc.•'s (`Seller prices in effect on the date a liabilities and costs, including attorneys' fees, incurred or purchase order`is accepted by Seller, and Seller may change sustained by Seller as a result of any third party claim made its prices at any time, in its sole. discretion. All prices will against Seller, including a claim by a customer of Buyer, be F.O.B. Chanute, Kansas, and net of any duties, sales, use arising from its negligent, reckless, willful, or intentional or similar taxes, fees or assessments, and do not include actions in marketing and reselling the goods. shipping, packaging or any insurance costs, all of which are Buyer's responsibility. 1 EXPORT RULES. Buyer will not ship, transfer or export the goods into any country or use the goods in 3. PAYMENT. Unless otherwise provided on the any manner prohibited by the United States Export face of the invoice, payment is due net 30 days of invoice Administration Act or any other export laws, restrictions or in US dollars. Partial payments are not permitted unless regulations (collectively the "Export Laws In addition, if authorized in writing. Partial payments will be treated as the goods are identified as export controlled items under non payment. Each invoice is independent from shipping the Export Laws, Buyer represents and warrants that Buyer sequence and disputes relating to other invoices. Failure to is not a citizen, or otherwise located within, an embargoed pay an invoice within 30 days will be considered a default. nation (including, without limitation Iran, Iraq, Syria, Sudan, Libya, Cuba, and North Korea) and that Buyer is 4. DELIVERY AND PERFORMANCE. Delivery not otherwise prohibited under the Export Laws from dates are approximate. Seller disclaims all liability for late receiving the goods. or partial delivery. Seller may deliver in such lots and at such times as is convenient for Seller. 11. MISCELLANEOUS. This purchase order, together with any other written agreement between Buyer 5. LOSS IN TRANSIT. Risk of loss will pass to and Seller, if any: (i) is the exclusive statement of the parties with "respect to the subject matter and supersedes Buyer upon delivery of the goods to the carrier. In case of breakage or !loss in transit, Buyer will have notation of any prior or -contemporaneous •communications; (ii): may not be amen ded except in writing executed by.the,,parties; same made on.'dxpense bill before paying freight. Seller r may reject claims for shortages not. made within IS days of and (iii) will be interpreted of and enforced in, accordance with the laws of the State Kansas, without giving effect Buyer's receipt of the goods. to principles of conflicts of law. This purchase order is: (1) solely for the benefit of the parties, and no provision of 6. TERMINATION, RESTOCKING CHARGES. this purchase order will be deemed to confer upon any Buyer may terminate this purchase order for its other person any remedy, claim, liability, reimbursement, convenience, in whole or in part, by written, faxed or cause of action or other right. Each party consents to the telegraphic notice at any time. If Buyer terminates this exclusive personal jurisdiction of the state and federal purchase order for convenience, Buyer will be liable to courts located in the State of Kansas for purposes of any Seller for Seller's reasonable costs incurred in the suit, action or other proceeding arising out of this performance of this purchase order that Seller cannot Agreement, waives any argument that venue in any such mitigate. Unless otherwise agreed upon in advance in forum is not convenient and agrees that the venue of any writing by Seller, Seller may charge Buyer a 25% litigation initiated by either of them in connection with this restocking fee, if: (a) the Buyer returns any non defective Agreement will be in either the District Court of Johnson goods covered by this purchase order; or (b) prior to County, Kansas, or the United States District Court, shipment, but after the goods are produced by Seller, Buyer District of Kansas. If any provision of this purchase order cancels the order for the subject goods. is unenforceable, the remaining provisions will remain in effect. No waiver (whether by course of dealing or 7. WARRANTY. Seller's warranty is provided otherwise) is effective unless it is made in writing and separately. signed by the party to be charged with such waiver. Unless otherwise specified in writing, notices must be given in 8. LIMITATION OF LIABILITY. SELLER IS writing by registered or certified mail, return receipt NOT LIABLE FOR ANY CONSEQUENTIAL, requested, addressed to: INDIRECT, OR INCIDENTAL DAMAGES, OR ANY LOST PROFITS OR LOST SAVINGS, EVEN IF A Kustorn Signals, Inc. SELLER REPRESENTATIVE HAS BEEN ADVISED OF Attn: Sales Dept. THE POSSIBILITY OF SUCH LOSS, DAMAGES, Pfl CLAIMS OR COSTS, NOR IS SELLER LIABLE FOR Lenexa, K S S 66 66215 ANY CLAIM BY ANY THIRD PARTY. SELLER'S AGGREGATE LIABILITY UNDER OR IN INDIANA RETAIL TAX EXEMPT PAGE c C o f f arme CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER Po lice epBI'•'tr! FEDERAL EXCISE TAX EXEMPT 35- 60000972 1 4 R 1 3 ©_N— CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Febr 26 2007 Tn ernnhnnaaa VENDOR Kustom Signals SHIP City of Carmel P01ice Depa*_wient P.O. Soh 411882 TO 3 Civic Square Eansas City, MO 64141 -1882 Carmel, IN 46432 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 20 ea microphines 19.00 380.00 t X14 t /r0A r3 4 Q A Send Invoice To: r PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT 1,110 500 egtopment repatts and mairte' Y -TENT f A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND f' VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. r PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �a"C �L. °t.s 1 l 1 �A K. SHIPPING LABELS. I THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of PIlir_e AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO.15 8 8 1A.P.V. COPY -SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE 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 20 Signature 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 Kustom Signals, Inc. Purchase Order No. 15881RF P.O. Box 411882 Terms Kansas City, MO 64141 -1882 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 4/21/08 353657 payment for repairs to recorder for car 23 226.13 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 K uscom Signals, Inc. IN SUM OF P.0 Box 411882 Kansas City, MO 64141 ^1882 226.13 ON ACCOUNT OF APPROPRIATION FOR p genera fund Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 15881RF 353657 500 226.13 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 April 25 2008 &4� n4a;t Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund