178464 10/14/2009 f CITY OF CARMEL, INDIANA VENDOR: 00352419 Page 1 of T
ONE CIVIC SQUARE BELL TECHLOGIX INC
CARMEL, INDIANA 46032 PO BOX 823342 CHECK AMOUNT: $1,792.72
PHILADELPHIA PA 19182 -3342
CHECK NUMBER: 178464
CHECK DATE: 10/14/2009
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESC RIPTIO N
1115 4350000 20392 275311 1,792.72 DESKSTANDS
City_ INDIANA RETAIL TAX EXEMPT PAGE
of Carmel CERTIFICATE NO. 003120155.002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 20392
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, Alp
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
912"112009
'Sell Techlogix Carmel Clay Communications
SHIP 31 First Avenue NW
""VENDOR
TO
8888 K e ystone Crossing, Ste 9700 Carmel, IN 46032
Indianapolis, IN 46240 (317) 579 -2586
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-500.00
8 Each Ergot= Deskstand 33- 091 -200 $224.09 $1,792.72
Sub Total: $1,792.7'2
z
Af
9
a
Send Invoice To:
Carmel Clay Communicati
31 First Avenue NW
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Communications PAYMENT $1,792.72
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 f r
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. r
0) -3 CLERK- TREASURER
DOCUMENT CONTROL NO A. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHED NO. WARRANT NO.
ALLOWED 2D
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 if
claim paid motor vehicle highway fund
I
Tech lo:g:ix]" PAGE: 1
Focused ^Sk8led^8eli� uh
INVOICE: BI 275311
REMIT TO:
BELL TECHLOGIX INC |wvoiCsoATs: 09/23/09
P.O. BOX 823342 ousoArs: 10/23/09
PHILADELPHIA PA 19182-3342
317-704-6000 TERMS: Net 30
866-782-2355 Net 30 Days
SHIP TO: BILL TO: 1201825
'City Clay Communications CITY OF CARMEL
31 First Avenue NW ONE CIVIC SQUARE
Carmel IN 46032 ATTN: ACCOUNTS PAYABLE
CARMEL IN 46032
USA
ORDER:, 660402
ORDER DATE: 09/21/09
CUSTOMER P.O.: 20392
CARRIER:
FREIGHT TERMS
METHOD:
TRANSPORTATION ID:
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: United States Dollars
DESCRIPTION
City Clay Communications
Terry Crockett
Cust PO Num: 20392
Contact name: Terry Crockett
Phone: 3175712567x
Email: tcrockett@carmel.in.gov
BELL SO 660402 20080680
1 33-091-200 8 EA 1,792.72
ERGOTRON ERGOTRON DESKSTAND 224.09 EA
DISPLAY STAND CONVERSION KIT
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
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: 1,792.72
INVOICE DISCOUNT: 0.00
NET AMOUNT: 1,792.72
TAX AMOUNT: 0.00
DOWN PAYMENT: 0.00
NET AMOUNT DUE: 1,792.72
ORIGINAL
i
prescribed by Stale 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09123/09 275312 $4,217.20
09/23/09 275311 $1,792.72
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 NO. 'WARRANT NO.
ALLOWED 20
Bell Techlogix
IN SUM OF
8888 Keystone Crossing, Ste 1700
Indianapolis, IN 46240
$6,009.92
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Oept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
20394 275312 44- 631.00 $4,217.20 1 hereby certify that the attached invoice(s), or
20392 275311 43- 500.00 $1,792.72
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
Thursday, October 01, 2009
4*
Direc
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund