172744 05/27/2009 CITY QFCARK8ELINDIANA »Ewoon 356389 Page 1 of 1
ONE CIVIC SQUARE BLACK BOX RESALE SERVICES
CARMEL.|NDK\NA*0U32 onx,,/mro CHECK AMOUNT: �es4�on
po"cme CHECK NUMBER: 173744
MINNEAPOLIS ww554wnmn
CHECK DATE: oonzoos
ospAnTMswT ��ooumT PO NUMBER |mvo|��mu�osn ��ouwT osncm/pr|ow
lIIO 4239099 20986 217.00 TELEPHONES
rIO2 4463I00 REZMB 447.00 COMMUNICATION EQOZ2ME
k 7P
ON INV ®ICE
RESALE SERWOC ES
Vibes Technologies, Inc.
BILL TO: 116124
For billing q uestions, )lease call
CITY OF CARMEL 877- 21.4 -4661
CARMEL CLAY COMM CTR /TODD LUCKOSKI
31 1ST AVE NW Invoice N: 999691
CARMEL IN 46032 Oi•der 999356756
UNITED STATES 1111'oice Date; 05/14/20
PO# CPD is
Amount We 2,1,7 00
SHIP TO: 116124 NET I� PyOiA A T i N US Dollar
CI OF CARMEL 30 I IOICE DATE
CARMEL CLAY COMM CTR /TODD LUCKOSKI A.-
31 1ST AVE NW REN11T PAYNIENT TO:
CARMEL, IN 46032 Black Box Resale Services
SDS 12 -0976
PO BOX 66
Minneapolis, MN 55486 -0976
Line Adj Identifier Description Quantity Unit Amt Net Amount
1 FREIGHT FREIGHT AND HANDLING 1 7.00 7.00
2 XM9316CWA NOR MER M9316 ANLG CLL ID ASH 2 105.00 210.00
subtotal':; 217.00
7 otal Amount We 217.00
Original
INDIANA RETAIL TAX EXEMPT PAGE
1
�l
ty Of Carme �CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
i
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 7 ARfi
3.%Eq 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 5997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
P1ty 15 2009 telephones
VENDOR B&ackbox Voice Services SHIP City of Carmel Police Department
P.O. Box 86 TO 3 Civic Square
Minneapolis, MN 554$0 Carmelr IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
2 M9316 telephones with caller ID ash 125.00 210.00
&4�
t h
4
.pr•i a
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 390 -99 other miscellaneous PAYMENT
j A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
llf 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
SHIP REPAID. THIS APPROPRIATION SUFFICIENTTO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY it- 9�11/.� 5? It"' -i `j
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Po li ce
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 0 986 CLERK- TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._, WARRANT NO._—,—
ALLOWED 20
Y
IN THE SUM OF
i
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #MTLE AMOUNT
DE�r. I hereby certify that the at tached 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
ride
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Black Box Resale Services Purchase Order No. 20986F
SDS 12 -0976 Terms
P.O. Box 86
Minneapolis, MN 55486 -0976 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1 a ent for 2 telephones 217.00
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.
ALLOWED 20
B lack Box Resale Services
IN SUM OF
SDS 12 -0976
P .O. Box 86
Minneapolis, MN 55486 =0976
217..00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
20986F 999691 390 --99 217.00 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
May 20 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
P
ff "LALK 150K INV ®ICE
G°3ESALC SERWQCCES
Vibes Technologies, inc.
BILL TO: 116124
For billing questions, please call
CITY OF CARMEL 877 -21.4 -4661
CARMEL CLAY COMM CTR /TODD LUCKOSKI
31 1ST AVE NW Invinii 999515
CARMEL IN 46032 Order. y: 999356586
UNITED STATES lnvoice Date 05113/2009
AO 050809::.:.
Aaiiount Due
SHIP TO: 116124 US Dollar
CITY of CARMEL NET 30 FROM INVOICE DATE
CARMEL CLAY COMM CTR /TODD LUCKOSKI
31 1sT AVE NW REMIT PAYMENT TO:
CARMEL, IN 46032 Black Box Resale Services
SDS 12 -0976
PO BOX 86
Minneapolis, MN 55466 -0976
Line Ad' Identifier Descri Lion Quantit Unit Ann Net Amount
1 FREIGHT FREIGHT AND HANDLING 1 12.00 12.00
2 XM9316CWB NOR MER M9316 ANLG CLL ID BLK 1 105.00 105.00
3 XM9316CWB NOR MER M9316 ANLG CLL ID BLK 2 105.00 210.00
4 XM9116C AASTRA 9116 ANALOG SET 2 60.00 120.00
SUbtotaL. 447:;:00 i
To #al Ariiount.Due s 44T.. 66?:
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 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 invoices) or bill(s))
999515 Phones Sta. 41 $447.00
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. WAR NO.
d ALLOWED 20
Black Box Resale
SIDS 12 -0976 IN SUM OF
P.O. Box 86
Minneapolis, MN 55486
$447.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members
1120 999515 102- 631.00 $447.00 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
MAY 2 2 2909
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund