178144 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 363056 Page 1 of 1
ONE CIVIC SQUARE FEDERAL FIELD SERVICES
CARMEL, INDIANA 46032 230 E MAIN STREET CHECK AMOUNT: $2,250.00
PLAINFIELD IN 46168 CHECK NUMBER: 178144
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350000 20388 1297 2,250.00 UPGRAGE SIREN TO 1 WA
federal Invoice
FIELD SERVICES L.L.C.
Date Invoice
230 East Main Street Plainfield, IN 46168 317.837.3155
10/5/2009 1297
Bill To Ship To
City of Carmel
One Civic Square
Carmel IN 46032 -2584
P.O. No. Terms Rep Job ft
20388 Net 30 DB 2009 -092
Item Quantity Description Date Amount
Technical Service I Upgrade siren to I -Way Digital for Carmel IN per PO 2,250.00 2,250.00
l
OCT 2W
t f-
V
N3 Ikil
ti
Z Z Z dZ�
�Ot l $2,250.00
City �i Carmel o INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2038$
35- 60000972
ONE CIVIC SQUARE 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.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
711612009
Federal Field Services Carmel Clay Communications
VENDOR SHIP 31 First Avenue NW
230 E. Fain Street TO Carmel, IN 46032
Plainfield, IN 46166 (317) 579 -2586
coNFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
n
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43- 500.00
1 Each Upg siren to 1 -way digital act $2,250.00 $2,250.
Sub Total: $2,250.00
Lp
'5
N S F fit, 1
41
Send Invoice To:
Carmel Clay Communications
31 First Avenue NW
Carmel, IN 45032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Communications PAYMENT $2,250.00
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENTTO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ny
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY t$•••^ ems"
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 5945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. A -.P. COPY SIGN AND RETURN TO CLERK' 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
.___Y. 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))
10/05/09 I 1297 I $2,250.00
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
VOUCHER NO. WARR ANT NO.
ALLOWED 20
Federal Field Services
IN SUM OF
230 E. Main Street
Plainfield, IN 46168
$2,250.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
20388 9297 43- 500.00 $2,250.00 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
Thursday, October 08, 2009
Dire ctor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund