204531 12/13/2011 CITY OF CARMEL, INDIANA VENDOR: 00352419 Page 1 of 1
ONE CIVIC SQUARE BELL TECHLOGIX INC
CARMEL, INDIANA 46032 PO BOX 823342 CHECK AMOUNT: $1,949.48
.i� PHILADELPHIA PA 19182 -3342 CHECK NUMBER: 204531
CHECK DATE: 12/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4463201 25976 BI310577 1,949.48 COMPUTER HARDWARE
RwM11 Tech1ogix 1_
PAGE: 1
Focused Skilled Reliable INVOICE: B I 310577
REMIT TO:
BELL TECHLOGIX INC INVOICE DATE: 11 10 11
P.O. BOX 823342 DUEDATE:12 /10 /11
PHILADELPHIA PA 19182 -3342 TERMS: Net 30
317- 704 -6000 s Net 30 Days
Y
SHIP TO: BILLTO: 1201825
City of Carmel CITY OF CARMEL
1 Civic Square ONE CIVIC SQUARE
attn: douglas haney ATTN: ACCOUNTS PAYABLE
Carmel IN 46032 CARMEL IN 46032
USA
ORDER: 686486
ORDER DATE: 10/25/11
CUSTOMER P.O.: 25976
CARRIER:
FREIGHT TERMS: FREIGHT CHARGE 121
METHOD: UNITED PARCEL GROUND
TRANSPORTATION ID:
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: United States Dollars
NET AMOUNT
DESCRIPTION
City o Carmel
Terry Crockett
Cust PO Num: 25976
Contact name: Terry Crockett
Phone: 3175712567x
Email: tcrockettCcarmel.in.gov
BELL SO 686486 20094361
1 XT935UT #ABA 1 EA 1,342.68
ELITEBOOK 2740P CORE I5 560M 1342.68 EA
2.66GHZ VPRO RAM 2GB HDD 16OGB
Line Lot /Serial Details:
2CE13502ND EA 1
2 UC284E 1 EA 298.36
4YR UPG WARR ONSITE NBD WITH 298.36 EA
OFFSITE ACCIDENTAL DAMAGE PROT
3 WA995UT #ABA 1 EA 173.48
ULTRA -SLIM EXPANSION BASE 173.48 EA
DOCKING STATION DVD /RW
4 AT912UT #ABA 1 EA 27.03
MEMORY 2GB SO DIMM 204 -PIN 27.03 EA
DDR3 1333MHZ /PC3 -1060
5 ISR- 760 -0007 1 EA 21.00
HARDWARE CONFIGURATION 21.00 EA
6 DE75OG 1 EA 86.93
APC BACK -UPS ES 750VA 10OUT 86.93 EA
120 VOLT MASTER CONTROL
PAST DUE ACCOUNTS CARRY INTEREST AT THE
LESSER OF 1.5% PER MONTH OR THE
MAXIMUM LEGAL RATE IN THE JURISDICTION
IN WHICH THE CUSTOMER'S PRINCIPAL PLACE
FREIGHT CHARGE:
GROSS AMOUNT:
INVOICE DISCOUNT:
NET AMOUNT:
TAX AMOUNT:
DOWN PAYMENT:
NET AMOUNT DUE:
M Techlogix
PAGE: 2
Focused Skilled Reliable INVOICE: BI 310577
REMIT TO:
BELL TECHLOGIX INC INVOICE DATE: 11/10/11
P.O. BOX 823342 D /10 /11
PHILADELPHIA PA 19182 -3342 TERMS: Net 30
317 -704 -6000 s Net 30 Days
Y
SHIP TO: BILL TO: 1201825
City of Carmel CITY OF CARMEL
1 Civic Square ONE CIVIC SQUARE
attn: douglas haney ATTN: ACCOUNTS PAYABLE
Carmel IN 46032 CARMEL IN 46032
USA
ORDER: 6 8 6 4 8 6
ORDER DATE: 10/25/11
CUSTOMER P.O.: 2 5 0 7 6
CARRIER:
FREIGHT TERMS: FREIGHT CHARGE 121
METHOD: UNITED PARCEL GROUND
TRANSPORTATION ID:
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: United States Dollars
DESCRIPTION
OF BUSINESS IS LOCATED
ALL DELIVERY TERMS ARE F.O.B. ORIGIN
TO REQUEST A STATEMENT OF ACCOUNT PLEASE
CONTACT 866 782 -2355 EXT 56817
FEDERAL TAX ID# 26- 3683994
FOR SERVICE CALL 1- 800 999 -9813
FREIGHT CHARGE: 0.00
GROSS AMOUNT: 1,949.48
INVOICE DISCOUNT: 0.00
NET AMOUNT: 1,949.48
TAX AMOUNT: 0.00
DOWN PAYMENT: 0.00
NET AMOUNT DUE: 1,949.48
INDIANA RETAIL TAX EXEMPT PAGE
Cl ty sane CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
l a,
l� A FEDERAL EXCISE TAX EXEMPT 5 Q 1
7 C
35- 60000972 r
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
P
l
VENDOR SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
A 9
3/o
N w
Ov
Send Invoice To: mow. d
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT T PROJECTACCOUNT AMOUNT
0/ PAYMENT
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.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. 1 0
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. E
CLERK- TREASURER
DOCUMENT CONTROL NO. 2-5976
A:P.V. COPY -SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.— ~WARRANT NO.
ALLOWED 20
IN THE SUM OF
O ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #MTLE AMOUNT
n ��r I hereby certify that the attached invoice(s), or
T bills) is (are) and correct and that the
p j materials or services itemized thereon for
which charge is made Were ordered and
received except
20_[�
i i nati r
Y
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