180804 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 093500 Page 1 of 1
ONE CIVIC SQUARE FEDERAL SIGNAL CORP
4 Fj'
CARMEL, INDIANA 46032 96631 COLLECTION CENTER DRIVE CHECK AMOUNT: $15,562.00
''Rion "u CHICAGO IL 60693 -6631 CHECK NUMBER: 180804
CHECK DATE: 12/3012009
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMB AMO DESCRIPTION
1115 4350000 21526 9493127 15,562.00 FCC REQUIRED MAINT UP
FEDERAL SIGNAL CORP. INVOICE
FEDERAL WARNING SYSTEMS DIV.
2645 FEDERAL SIGNAL DRIVE WIRE TRANSFERS to:
UNIVERSITY PARK IL 60484 -3195 Send Payments To: Bank of 'America Chicago; I
Federal;Signal Corporation Acct ND. 8666605435
7288 Collectoon Center i]riv' ABA No. 0260- 0959 -3
Fri Dec 181 10: 18 CST. 2009 Cfi ca o <IL`6o693- `:Swift No. BOFAUS3N
Page 1 of 1
Date 18 DEC 2009
Our Order No. 9493127
SOLD TO: 6183 SHIP TO: 5639
CARMEL CITY OF CARMEL CITY OF
CARMEL CLAY COMMUNICATION CARMEL CLAY COMMUNICATION
DISPATCH 31 FIRST AVE NW
31 FIRST AVE NW CARMEL, IN 46032
CARMEL, IN 46032 USA
Market Code: 200
REGION: 2001 REP: CAPITOL ELEC. #339635 FREIGHT TERMS; Free
BILL TO?IVO CUSTOMER'S ORDER NO PAYMENT _7ERM5 SHIPPED VIA' PARTIAL
6183 21526 0.00 /0/30 FRT Y
ITEM QUAN. DATE PART NUMBER DESCRIPTION COMMENTS UNIT TOTAL
NO ORDERED 'SCHEDULED
PRICE.. AMOUNT.
MARK FOR: TODD LUCKOSKI
317.571.2586
Quote /Promo Number: TURNKEY
1 3 02 -26 -10 FCTBD 22.00 2342.330 7026.99
CNTL,2- WAY,NO RADIO,DIGIT
NOTES
STANDARD
2 1 02 -26 -10 ES -SMV 0.00 350.000 350.00
REMOVE CONTROL BOARD
FROM FCTBD
3 3 02 -26 -10 OMNI -15 22.00 355.000 1065.00
ANTENNA, 450- 46OMHz UHF
(WILL ARRIVE SEPERATE -DS)
4 2 02 -26 -10 AMB -P 22.00 110.000 220.00
ANTENNA MOUNTING BRACKET,
POLE
5 1 02 -26 -10 AMB -W 22.00 125.000 125.00
ANTENNA MOUNTING BRACKET,
WALL
6 3 02 -26 -10 SK -SM 22.00 225.000 675.00
CUR SENSE,1 MOTOR, AC,KIT
7 3 02 -26 -10 SK1.240 22.00 110.000 330.00
SENSE KIT,1 -PH, 240VAC
8 1 02 -26 -10 ES- FREIGHT 0.00 475.010 475.01
FREIGHT AND HANDLING
9 3 02 -26 -10 TK- IO- CUSTINS 0.00 1765.000 5295.00
CUSTOM INSTALLATION
NOTES
SEE ATTACHED QUOTE
Order Total: $15,562.00
Fr Form Revised August 26th. 2005
INDIANA RETAIL TAX EXEMPT PAGE
City of Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 21526
35- 60000972
ONE 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
1211612009
Federal Signal Corporation Carmel Clay Communications
VENDOR SHIP 31 First Avenue Nw
2645 Federal Signal Drive TO Carrel, IN 46032
University Park, IL 60404 (317) 571••2586
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43- 500.00
1 Each FCC Required maint. Upgrade $15,562.00 $15,562.00
Sub Total: $15,562.00
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Send Invoice To:
Carmel Clay Communications
31 First Avenue NW
Cormei, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT T PROJECTACCOUNT AMOUNT
Communications PAYMENT $15,562.00
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 HERESY 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. I r
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY w9-✓°ti
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
2 1 2 CLERK TREASURER
DOCUMENT CONTROL NO. A' 1 A• 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 #MTLE 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-- u
20 i
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
prescribed by Stale 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))
12/18/09 I 9493127 I I $15,562.00
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. WARRANT NO.
ALLOWED 20
Federal Signal Corporation
IN SUM OF
2645 Federal Signal Drive
University Park, IL 60484
$15,562.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# I Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
21526 9493127 43- 500.00 $15,562.00 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
Friday, December 18, 2009
Dir
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund