HomeMy WebLinkAbout204723 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 356389 Page 1 of 1
ONE CIVIC SQUARE BLACK BOX RESALE SERVICES
S 1 CARMEL, INDIANA 46032 SAS 12 -0976
CHECK AMOUNT: $203.00
PO BOX B6
"ON CHECK NUMBER: 204723
MINNEAPOLIS MN 55486 -0976
CHECK DATE: 12120/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4463100 4145334 203.00 COMMUNICATION EQUIPME
4 BLACK BOX
RESALE SERVICES INVOICE
Vibes Technologies, Inc.
BILL TO: 116124
For billing questions, please call
CITY OF CARMEL 877- 214 -4661
CARMEL CLAY COMM CTR /TODD LUCKOSKI
31 1 STAVE NW lnj ou c 4I ia33 t
CARMEL IN 46032 Order 99943194
UNITED STATES invoice D,ite 12/0712011
110#. LAW h)LPARTNIGN'F
Amount Dtiie .203 Ott
SHIP TO: 116124 US Dollar
CITY of CARMEL NET 34 FROM INVOICE DATE
LAW DEPARTMRNT REMIT PAYMENT TO:
31 1ST AVE NW Black Box Resale Services
CARMEL, IN 46032 SDS 12 -0976
PO Box 86
Minneapolis, MN 55486 -0976
Line Adj Identifier Description Quantity Unit Amt Net Amount
1 FREIGHT FREIGHT AND HANDLING 1 6.00 8.00
2 XM5316B *NOR CTX M5316 BLK 1 195.00 195.00
Subtotal: 203:00 :I
Total mount Due..
A s> 2os! oo
Received
12 15- 11x.05 Ob RCVD
City of Carmel
Department of Law
Original
City C INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
D 6 0 jk 7�� i 4f z FEDERAL EXCISE TAX EXEMPT 0i_ 3
�I` I 35- 60000972 C{/
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
VENDOR SHIP
�n �y
SOS 0 TO
J1A1_5Y `0 F76
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
'2'
0
Send Invoice To: M
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
,tQ#Ap j t�5/p �.J /�o PAYMENT C"71013-60
U U 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 SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. i r
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE CC
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
S .2 04��
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Obf ACCOUNT OF APPROPRIATION FOR
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Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
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
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund