178624 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 00352419 Page 1 of 1
ONE CIVIC SQUARE BELL TECHLOGIX INC CHECK AMOUNT: $8,870.85
CARMEL, INDIANA 46032 PO BOX 823342
PHILADELPHIA PA 19182 -3342 CHECK NUMBER: 178624
CHECK DATE: 10/28/2009
DEPARTM ACCOUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION
604 5023990 275720 X511.94 OTHER EXPENSES
652 5023990 275720 /511.94 2308.00
2200 4463201 21362 BI 276065 1,837.05 LAPTOP
1115 4350000 20396 BI 276135 1,792.72 DESKSTAND
1115 4463100 20397 BI 276173 4,217.20 24" LCD DISPLAYS
'A
PAGE: 1
M cused^Sk�ed`8e6ab�
REMIT TI |NV0CE BI 275720
BELL TECHLOGIX INC |mvUICEOATE: 09/30/09
P.O. BOX 823342 DUEDATE: 10/30/09
PHILADELPHIA PA 19182-3342
317-704-6000 TERMS: Net 30
866-7B2-2355 Net 30 Days
SH|pTO: BILL TO: 1201825
Carmel Utilities CITY OF CARMEL
760 3rd Avenue, SW Ste 110 ONE CIVIC SQUARE
Attn: Terry Crockett ATTN: ACCOUNTS PAYABLE
Carmel IN 46032 CARMEL IN 46032
USA
onoEn 660183
ORDER DATE 09/16/09
CUSTOMER P.O.: w08946
oAnn|sT
FREOHTTERmG FREIGHT CHARGE 121
METHOD: FEDERAL EXPRESS ECONOMY
TRANSPORTAT ID:
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: United States Dollars
Carmel Utilities
Terry Crockett
Cust PO Num: w08946
Contact name: Terry Crockett
Phone: 3175712567x
Email: tcrockett@carmel.in.gov
prices are based on WSCA II contract pr
ricing or better
BELL SO 660183 20080643
1 NV364UT#ABA 1 EA 478.89
SMART BUY DX2400 MT E5200 2.5G 478'89 EA
26B 80GB DVDRW WVB/XPP
Line Lot/Serial Details-.
MXL9260B39 EA 1
2 AH053AA 1 EA 33.18
1'
50 44MB INT FDD FOR DC5700 DX57 33.18 EA
3 AH047AA 1 EA 58.89
DVDR8M 16X SATA 5.25HH DC5700 58.89 EA
DX5750 DC7700
4 U4854PE l EA 86.63
1YR POST WARR NBD ONSITE 9X5 86.63 EA
FOR LE-DT CPU
5 BE750G 1 EA 86.20
APC BACK-UPS ES 750VA 10OUT 86.20 EA
120 VOLT MASTER CONTROL
6 ISR-760-0007 1 EA 28.00
HARDWARE CONFIGURATION 28.00 EA
7 U657BE 1 EA 57.56
ELECTRONIC HP CARE PACK NEXT B 57.56 EA
EXTENDED SERVICE AGREEMENT P
FRs|oyTo*xRmE:
GROSS AMOUNT:
INVOICE DISCOUNT:
NET AMOUNT:
TAX AMOUNT:
DOWN PAYMENT:
NET AMOUNT DUE:
ORIGINAL
Techlogix PAGE: 2
Focused Skilled- Reliable
INVOICE: BI 275720
REMIT TO:
BELL TECHLOGIX INC |wvO|Cs DATE: 09/30/09
P.O. BOX 823342 DUE DATE: 10/30/09
PHILADELPHIA PA 19182-3342
317-704-6000 TERMS: Net 30
866-782-2355 Net 30 Days
SHIP TO: BILL TO: 1201825
Carmel Utilities CITY OF CARMEL
760 3rd Avenue, SW Ste 110 ONE CIVIC SQUARE
Attn: Terry Crockett ATTN: ACCOUNTS PAYABLE
Carmel IN 46032 CARMEL IN 46032
USA
Onosn 660183
ORDER DATE: 09/16/09
CUSTOMER P.O.: w08946
cxRRsm
FREIGHT TERMS: FREIGHT CHARGE 121
METHOD: FEDERAL EXPRESS ECONOMY
TRANSPORTATION ID:
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: United States Dollar
ITEM 'QUANTIT
'.LINE DESCRIPTION: UNIT PRICE NET AMOUNT
8 ISR-760-0004 1 EA 18.00
IMAGING DESKTOP 18.00 EA
9 NK570A8#ABA 1 EA 136.43
HP LE1901W 136.43 EA
LCD DISPLAY TFT 191N WID
Line Lot/Serial Details:
3CQ92145M7 EA 1
10 N0576AT 1 EA 14.85
HP LCD SPEAKER BAR 14.85 EA
SPEAKER
11 U7934E 1 EA 25.25
4YR UPG WARR ONSITE NBD 9X5 25.25 EA
MID-RANGE MONITORS 17-19IN LCD
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: 1,023.88
INVOICE DISCOUNT: 0.00
NET AMOUNT: 1,023.88
TAX AMOUNT: 0.00
DOWN PAYMENT: 0.00
NET AMOUNT DUE: Be 1,023.
ORIGINAL
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00352419
BELL TECH LOGIX Purchase Order No.
PO BOX 823342 Terms
PHILADELPHIA, PA 19182 Due Date 10/6/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/6/2009 275720 $511.94
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Q ,icer
'VOUCHER 096564 WARRANT ALLOWED
00352419 IN SUM OF
BELL TECHLOGIX
PO BOX 823342 4
PHILADELPHIA, PA 19`182
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
275720 02- 2308 -00 $511.94
Depreciation
b rlS{
l
Voucher T $591.94
Cost distribution ledger classification if
claim paid under vehicle highway fund
Techlogix PAGE 1
Focused Skilled- Reliable
REMIT TO: |NV=E: BI 276065
BELL TECHLOGIX INC INVO DATE: 10/09/09
P.O. BOX 823342 DUE DATE: 11/08/09
PHILADELPHIA PA 19182-3342
317-704-6000 TERMS: Net 30
866-782-2355 Net 30 Days
SHIP TO: 1201825
City of Carmel/ Dept of Engine CITY OF CARMEL
TOne Civic Square ONE CIVIC SQUARE
attn: Dept of Engineering ATTN: ACCOUNTS PAYABLE
Carmel IN 46032 CARMEL IN 46032
USA
ORDER: 660834
ORDER 10/01/09
CuSnOmEnPI� 21362
CARRIER:
FREIGHT TERMS:
METHOD:
TRANSPORTATION |[l
SALESPERSON: SETH SCHWARTZBACH
OUn*swCv: United States Dollars
HAM
of Avy NE
City of Carmel/ Dept of Engineering
Terry Crockett
Cust PO Num: 21362
Contact name: Terry Crockett
Phone: 3175712567x
Email: tcrockett@carmel.in.gov
Prices are based on WSCA II contract pr
ricing or better
BELL SO 660834 20080928
1 KS178UT#ABA 1 EA 831.58
SMART BUY 6730B P8600 2.4G 2GB 831'58 EA
250GB DVDRW 15.4-WXGA WVB/XPP
]SCNU93488130
2 KP081AA#ABA 1 EA 282'71
150W 1'0 DOCKING STATION 282.71 EA
3 NK570A84ABA 1 EA 129.57
HP LE1901W 129'57 EA
LCD DISPLAY TFT 19IN WID
]S3CQ9243PF1
4 U7934E 1 EA 23.93
4YR UPG WARR ONSITE NBD 9X5 23'93 EA
MID-RANGE MONITORS 17-19IN LCD
5 RR317UT 1 EA 28.50
SMART BUY NYLON DELUXE BACK 28.50 EA OCT 20
PACK CASE
6 BE7500 1 EA 83.07
APC BACK-UPS ES 750VA 10OUT 83.07 EA
120 VOLT MASTER CONTROL
7 920-000920 1 EA 10 0E 6Z 35.79
LOGITECH WIRELESS DESKTOP MK30 35.79 EA
KEYBOARD WIRELESS RF MOU
pns|ooTcn^nos:
GROSS AMOUNT:
INVOICE DISCOUNT:
NET AMOUNT:
TAX AMOUNT:
DOWN PAYMENT:
NET AMOUNT DUE:
ORIGINAL
PAGE:2
Focused -Skilled Reliable REMIT TO: INVOICE: BI 276065
BELL TECHLOGIX INC INVOICE DATE: 1O/O9/09
P.O. BOX 823342 DUE DATE: 11/08/09
PHILADELPHIA PA 191B2-3342
317-704-6000 TERMS: Net 30
866-782-2355 Net 30 Days
SHIP TO: BILL TO 1201825
City of Carmel/ Dept of Engine CITY OF CARMEL
^One Civic Square ONE CIVIC SQUARE
attn: Dept of Engineering_ ATTN: ACCOUNTS PAYABLE
Carmel IN 46O32 CARMEL IN 46032
USA
ORDER: 660834
ORDER DATE 10/01/09
CUSTOMER P.O.: 21.362
CARRIER:
FREIGHT TERMS:
METHOD:
TRANSPORTATION ID:
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: United States Dollars
'UNIT PRICE
8 UC283E 1 EA 373.45
4YR UPG WARR ONSITE NBD WITH 373.45 EA
OFFSITE ACCIDENTAL DAMAGE PROT
9 ED494AA#ABA 1 EA 48.45
65W SMART AC ADAPTER US 48.45 EA
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: 1,837.05
INVOICE DISCOUNT: 0.00
NET AMOUNT: 1,837.05
TAX AMOUNT: 0.00
DOWN PAYMENT: 0.00
NET AMOUNT DUE: 1,837.O5
ORIGINAL
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
l
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, Inc.
Purchase Order No.
P.O. Box 823342
Terms
Philadelphia, PA 19182 -3342
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/09/09 B1276065 Laptop Computer Conference $1,837.05
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
Bell Techlogix, Inc. IN SUM OF
P.O. Box 823342
Philadelp PA 19182 -3342
$1,837.05
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
21362 81 276065 2200- 4463201 $1,837.05 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
�`2l0 20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
pAus 1
Focused. Skilled- Reliable
|NVO|cE: BI 276173
REMIT TO:
BELL TECHLOGIX INC INVOICE DATE: 10/13/09
P.O. BOX 923342 ouE DATE: 11/12/09
PHILADELPHIA PA 19182-3342
317-704-6000 TERMS: Net 30
866-782-2355 Net 30 Days
SHIP TO: BILL TO: 1201825
.Carmel Clay Communications CITY OF CARMEL
31 First Avenue NW ONE CIVIC SQUARE
Carmel IN 46032 ATTN: ACCOUNTS PAYABLE
CARMEL IN 46032
USA
ORDER: 661005
ORDER DATE: 10/08/09
CUSTOMER P.O.: 20397
CARRER:
pRs|G*TTenMu:
METHOD:
TRANSPORTATION 0:
SxLESpsn80w: SETH SCHWARTZBACH
CURRENCY United States Dollars
UNI
Carmel Clay Communications
Terry Crockett
Cust PO Num: 20397
Contact name: Terry Crockett
Phone: 3175712567x
Email: tcrockett@carmel'in'gov
BELL SO 661005 20081064
1 KD911A8#ABA 8 EA 4
SMART BUY 24IN WS LCD 1000:1 527.15 EA
1920x1200 LP2475W DVI/HDMI/DP/
SCN09100BCB
SCN09100BHL
SCNC9100BJV
SCNC9100C4W
SCNC910004X
SCNC9100C4Y
]SCNC9101DXY
]SCNC9101DY9
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 866-762-2355 EXT 56817
FEDERAL TAX ID# 26-3683994
FREIGHT CHARGE:
GROSS AMOUNT:
INVOICE DISCOUNT:
NET AMOUNT:
TAX AMOUNT:
DOWN PAYMENT:
NET AMOUNT DUE:
ORIGINAL
T x
R used• Skilled- Reliable PAGE: 2
ZEMITTO: INVOICE: B1 275312
TECHLOGIX INC INVOICEDATE: Cy9/2:;/04
"'m.. BOX 623342 DUE DATE: 10/23/09
DELPH I A PA 19182-7,342
i 704 -6000 TERMS: Net 30
366- 782 -2355 Net 30 Days
SHIP TO: BILL TO: 1201825
Carmel Clay Communications CITY OF CARMEL
31 First Avenue NW ONE CIVIC SQUARE
Carmel IN 46032 ATTN: ACCOUNTS PAYABLE
CARMEL IN 46032
USA
ORDER: 660404
ORDER DATE: 09/21/09
CUSTOMER P.O.: 20394
CARRIER:
FREIGHT TERMS:
METHOD:
TRANSPORTATION ID;
SALESPERSON: SETH SCHWARTZDACH
CURRENCY: United States Dollars
ITEM QUANTITY
i AMOUNT
FOR SERVICE CALL 1 -804- 999 -9813
FREIGHT CHARGE: 0.00
GROSS AMOUNT: 4,217.20
INVOICE DISCOUNT: 0.00
.00
NET AMOUNT: 4,217.20
TAX AMOUNT: 0.00
0 DOWN PAYMENT: 0h
NET AMOUNT DUE: 4,21
ORIGINAL
Techlogix
Focused Skilled- Reliable pAo��
INVOICE: BI 276135
REMIT TO:
BELL TECHLOGIX INC |mvO|CsoATs: 10/12/09
P.O. BOX 823342 DUE DATE: 11/11/09
PHILADELPHIA PA 19182-3342
317-704-6000 TERMS: Net 30
866-782-2355 Net 30 Days
SHIP TO: BILL TO: 1201825
�ity Clay Communications CITY OF CARMEL
31 First Avenue NW ONE CIVIC SQUARE
Carmel IN 46032 ATTN.- ACCOUNTS PAYABLE
CARMEL IN 46032
USA
ORDER: 661003
ORDER DATE: 10/08/09
20396 r
FREIGHT TERMS
METHOD
TRANSPORTATION ID:
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: United States Dollars
City Clay Communications
Terry Crockett
Cust PO Num: 20396
Contact name: Terry Crockett
Phone: 3175712567x
Email: tcrockett@carmel.in.gov
BELL SQ 661003 20081061
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: 0.0O
oOww PAYMENT: 0.00
NET AMOUNT DUE: 1,792.72
ORIGINAL
a f p� Carme l INDIANA RETAIL TAX EXEMPT PACE
?uiy II o CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
4 x
s t; FEDERAL EXCISE TAX EXEMPT
35- 60000972
V ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 4$032 -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
r,
101812009
t
Bell Techlogix Carmel Clay Communications
VE NDOR �y p}� SHIP X 31 First Aven l
TO
l 1 888 Keystone Crossing Ste 1 700 Carmel, IN 46032
Indianapolis, IN 4£240 (317) 571 -2586
CONFIRMATION BLANKET, CONTRACT PAYMENTTERMS FREIGHT
i
UNIT -OF MEASURE s DESCRIPTION UNlT PRICE EXTENSION
Account 43- 500.00
8 Each Ergatron Deskstand DS100 33 -091 -200 $224.09 $1,79272
Sub Total: $1,792.72
Or
M a
j
Send Invoice TO
t
Carmel Clay Communications
31 First Avenue NW
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Communications PAYMENT $1 ,792.72
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
i VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY �2�-� �.�9�
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. h
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE /Y ✓L
AND ACTS AMENDATORY THEREOF AN4 SUPPLEMENT THERETO,
20396 CLERK TREASURER
DOCUMENT CONTROL NO. A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
K
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
-_Y._.._ Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
INDIANA RETAIL TAX EXEMPT PAGE
Cit o II C arme l CERTIFICATE NO. 403120155 002 0 11 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 50000972 20397
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
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
7 6MI2009
Bell Techlogix Ca rmel Clay Communications
VENDOR TOIP 31 First A NW
8888 Keystone Crossing, Ste 7700 Carmel, IN 46032
Indianapolis, IN 46240 (317) 571 -2586
CONRRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
.w
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44 -631.00
8 Each HP LCD display{ 24" KD911A8 #ABA $527.15 $4,217.20
Sub Total: $4,217.20
c
Send Invoice To:
Carmel Clay Commun ications
31 First Avenue NW
Carmel, IN 46032•
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Communications PAYMENT $4,217.20
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 APP ROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
G.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /fry �c c.�'•
f t
SHIPPING LABELS. F r
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ff
C 3 9 CLERK TREASURER
DOCUMENT CONTROL NO T COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
V
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
Title
Cost distribution ledger classification it
claim paid motor vehicle highway fund
Prescribed by Slate Board of Accounts City Form No. 201 (Rev. 199b*)-
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))
10/12/09 276135 $1,792.72
10/13/09 276173 $4,217.20
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
dell Techlogix
IN SUM OF
8888 Keystone Crossing, Ste 1700
Indianapolis, IN 46240
$6,009.92
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
20396 276135 43- 500.00 $1,792.72 i hereby certify that the attached invoice(s), or
20397 276173 44- 631.00 $4,217.20
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
Tuesday, October 20, 2009
Directo
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund