170364 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 354104 Page 1 of 1
ONE CIVIC SQUARE DB INNOVATIONS
CHECK AMOUNT: $1,345.00
CARMEL, INDIANA 46032
37 FORD LANE
row LITTLE FALLS NY 13365 CHECK NUMBER: 170364
CHECK DATE: 411/2009
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBE AMOUNT DESCRIPTION
1110 .4467099 20069 4721 1,345.0 RADAR CERT EQUIP
fi
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9
f.
dB Innauations Invoice
37 Ford Lane f Invoice Number:
Little Falls, NY 13365 4721
USA
Invoice Date:
Voice: 800 -371 -3758 Mar 12, 2009
Fax; 877 -906 -7016
Ship to:
Sold To:
Carmel Clay Center Carmel Clay Comm Center
Carmel Police Dept 31 1st Ave NUT
Carmel, IN 46032
3 Civic Square
Carmel, IN 46032
Customer ID Customer PO Payment Terms
CCC101 20069 Net 30 Days
S ales Rep ID Shipping Method Ship Date Due Date
UPS 3/11/09 4/11/09
Quantity Item Description Unit Price Extension
OCAR Hr BV Base Rdara 1,295.0
C ertification Equipment
PS 50.0
Subtotal 1,345.00
Sales Tax
Total Invoice Amount 1, 345.00
Check/Credit Memo No: Payment /Credit Applied
T OTAL 1,345.00
LA 4 INDIANA RETAIL TAX EXEMPT PAGE
of C rmel CERTIFICATE NO. 003120155 002 0
C�,�L PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 941
3 pDM CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, XP
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
Z SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHA ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
March 4 2009 radar certification equipment qov, VENDOR dB innovations s HIP ...y...
37 Ford Lane TO 31 _di venue NW
Little Falls, NY 13365 Carmel, IN 46032
ATTN: William Rexer ATTN: Todd Luckoski
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 VQCAR HR -BV Base Unit per quote 1,295.00 1,295.00
s shipping 50.00
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Q T CQ A4
,A
Send Invoice To:
City of Carmel Pol_
ATTN: Teresa Anderso
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE 1.345,900
DEPARTMENT ACCOUNT PROJECT f I PROJECT ACCOUNT AMOUNT
1110 970 other equipment 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
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
f CLERK- TREASURER
DOCUMENT CONTROL NO. 3 COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO. WARRANT NO.
x
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
Title
Cost distribution ledger classification it
claim paid motor vehicle highway fund
PrescribOoy 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
-*hom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
dB Innovations Purchase Order No. 20069F
37 Ford lane Terms
Little Falls, NY 13365 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/12/09 4721 payment for radar certification equipment 1,345.00
Total
I 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.
1
ALLOWED 20
d' Innovations IN SUM OF
37 Ford Lane
Little Falls, NY 13365
1,345.00
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
20069F 4721 670 -99 1,345.00 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
March 25 20 09
Si nature
Chef of police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund