HomeMy WebLinkAbout203525 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 358122 Page 1 of 1
f ONE CIVIC SQUARE L -COM CONNECTIVITY PRODUCTS CHECK AMOUNT: $122.20
CARMEL, INDIANA 46032 PO BOX 55758
BOSTON MA 02205 -5758 CHECK NUMBER: 203525
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350000 1895810 122.20 EQUIPMENT REPAIRS M
®Global INVOICE
C O' Please Remit to: Bank Transfers To:
Connectivit P.O. Box 55758 Citibank, Miami, FL
Boston, MA 02205 -5758 Branch 61 Boca Raton, FL.
ABA 266- 086 -554
978 682 -6936 978- 689 -9484 Account 9115135234
Swift Code: CITIUS33
Account Name: L -com, Inc.
Invoice 1895810 Invoice Date 31- ®et -11 Page 1 US funds only
Sold CARMEL, CITY OF COMMUNICATIONS DEPT
To: 31 FIRST AVE NW Ship CARMEL CLAY COMMUNICATIONS CENTER
CARMEL, IN 46032 TO: Attn: TODD LUCKOSKI
31 1 ST AVE NW
INDIANAPOLIS, IN 46032
Ship Via Ship Date Due Date Purchase Order Our Order Order Date
FX GD 31- Oct -11 I 30- Nov -11 VERBAL 10312011 3479889 31 -Oct -11
Shipment Terms Buyer Account Salespeople
1523751 NET 30 TODD LUCKOSKI 171655 70 616
ORD QTY/ UNIT
IN ITEM DESCRIPTION CUSTOMER ITEM U/M BALANCE SHIPPED PRICE AMOUNT
Thank you for your order, we appreciate your business.
1 CA- NMNMH005 EA 5 5 22.25000 111.25
CA,NM NM 5FT CA -40OUF 0
ALL CLAIMS MUST BE MADE SEVEN (7) DAYS AFTER RECEIPT.
CERTIFICATE OF COMPLIANCE: This is to certify that the product shipped against your purchase order Subtotal (USD) 1 1 1.25
conforms to the requirements of your purchase order.
CERTIFICATE OF ORIGIN: This Certifies the items listed above originated in the country indicated on the
individual packaging label. Thomas Barczak, Corporate Quality Manager
Freight (USD) 10.95
Total (USD) 122.20
Resale Certificate 0031201550 -020
SHIPPING TRACKING 045946870382064 X
Created On: 10/31/11 4:25:48 PM Printed On: 10/31/11 4:53:11 PM
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))
10/31/11 1895810 $122.20
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
L Corn Global Connectivity
IN SUM OF
P.O. Box 55758
Boston, MA 02205 -5758
$12 2.2 0
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1115 I 1895810 I 43- 500.00 I $122.20 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
Tuesday, November 01, 2011
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund