170381 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 357525 Page 1 of 1
e ONE CIVIC SQUARE ELECTRONIC STRATEGIES INC CHECK AMOUNT: $92.00
CARMEL, INDIANA 46032 6855 HILLSDALE COURT
INDIANAPOLIS IN 46250 CHECK NUMBER: 170381
�ox
CHECK DATE: 4/1/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4350000 53194 92.00 EQUIPMENT REPAIRS M
k,
ELECTRONIC STRATEGIES, INC.
6855 HILLSDALE COURT Invoice Number: 53194
INDIANAPOLIS, IN 46250 Invoice Date: Mar 23, 2009
TECHNOLOGY ADVISORS
Page: 1
(317)596 9891 FAX (317)596 9894 www.esitecliadvisoi
Bill To: FS hip to:
City of Carmel
3 Civic Square
Attn: Terry Crockett
Carmel, IN 46032
i
Customer ID Custome PO I Payment Terms
5249 S030584 Net 15 Da ys
Sales Rep ID I Shipping Method I Ship Date Due Date
C. Ritchhart Ground 3111109 4/7109
Q uanti ty' _Item Description Unit Price Amount
1.00 Labor Replaced separation pad 90.00 90.00
1.00 rg5 -5281 Hp 4000 Seperation Pad 2.00 2.00
Make: HPLJ 4050
Model: Q4254A
SIN: USOL058638
I
Dept: Clerk's j
Location: Lois's Office
i
i
I
I
i
i
Sub t o tal 92.00
Sales Tax
Total Invoice Amount 92.00
P a ment/Credit Ap
Check/Credit Memo No: Y
TOTAL 9 2.00
Accounts not paid within 30 days of invoice are subject to a 1.5% finance chrg
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
Lt Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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.
ALLOWED 20
IN SUM OF
LIP
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
EPT. 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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund