179998 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00352419 Page 1 of 1
ONE CIVIC SQUARE BELL TECHLOGIX INC
s QJ� CHECK AMOUNT: $313.44
CARMEL, INDIANA 46032 PO BOX 823342
PHILADELPHIA PA 19182 -3342 CHECK NUMBER: 179998
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4463201 19352 BI 278113 313.44 19" MONITORS
go
i
I MIlTechlogix
Focused Skilled Reliable
PAGE: 1
REMIT T0:
INVOICE: B I `.?781.1?
BELL TECHLOG I X INC INVOICE DATE: 11/24/09
P.O. BOX 82• :7,42 DUE DATE: 12/24/09
PHILADELPHIA PA 19182 -3342
317- 704 -6000 TERMS: Net 30
X56- 782 -2'55 Net TO Days
SHIP TO: BILL TO: 12[1825
City of Carmel CITY OF CARMEL
1 Civic Square ONE CIVIC SQUARE
human resources ATTN: ACCOUNTS PAYABLE
Carmel IN 46012 CARMEL IN 460:32
USA
ORDER: 66298:.r
ORDER DATE: 1 i• /'2t) t )9
CUSTOMER P.O.: 19352
CARRIER:
FREIGHT TERMS:
METHOD:
TRANSPORTATION ID:
SALESPERSON: SE11-4 SCHWART7_BACH
CURRENCY: United States Dollars
City of Carmel
Terry Crockett
CUSt PO NUM: 19 35'
Contact names Terry Crockett
Phone. ?175712567„
Email: tcrockett@cai-a
BELL SO 662987, 20081689
1 NP446A8 #ABA 2 EA 31 3
HP LE1901WM 156.72 EA
LCD DISPLAY TFT 19IN WID
IS3C09264LRK.
IS C09264LGD
FAST 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 Q
OF BUSINESS IS LOCATED D
ALL DELIVERY TERMS ARE F.O.B. ORIGIN DEC
TO REQUEST A STATEMENT OF ACCOUNT PLEASE
CONTACT 866- 782 -2 355 F_XT 56817
By
FEDERAL TAX ID# 26-368
FOR FOR SERVICE CALL 1 -800- 999 9813
FREIGHT CHARGE: 0.00
GROSS AMOUNT: 313.44
INVOICE DISCOUNT: 0.00
NET AMOUNT: 13. 44
TAX AMOUNT: 0. 00
DOWN PAYMENT: t )o
NET AMOUNT DUE: 31. 44
ORIGINAL
'Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Bell Techlogix
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/24/09 91278113 HP Monitors $313.44
Total $313.44
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 NOI,=�RRANT NO.
ALLOWED 20
Bell Techloqix
IN SUM OF
PO Box 823342
Philadelphia, PA 19182 -3342
$313.44
ON ACCOUNT OF APPROPRIATION FOR
General Fund
1201 Human Resources
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
19352 BI 278113 632 01 $313.44 materials or services itemized thereon for
Full which charge is made were ordered and
'received except
20
v gn_atu e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund