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169820 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 356389 Page 1 of 1 ONE CIVIC SQUARE BLACK BOX RESALE SERVICES CARMEL, INDIANA 46032 SDS 12 -0976 CHECK AMOUNT: $112.00 PO BOX 86 CHECK NUMBER: 169820 MINNEAPOLIS MN 55466 -0976 CHECK DATE: 3/18/2009 DEPARTMENT AC COU N T PO NUMBER I NUMBER A MOUNT DESCRIPTION 1192 4463100 987954 112.00 COMMUNICATION EQUIPME i I AVIO BvA INV ®ICE [RES. &LIE 219=H OC IES Vibes Technologies, lnc. BILL TO: 1161.24 For billing questions, please call CITY OF CARMEL 877 -214 -4661 CARMEL CLAY COMM CTR /TODD LUCKOSKI 31 1ST AVE NW liitioice ll 987954. CARMEL IN 46032 Order 999350916 UNITED STATES Invoice Date. 02123/2009 PO DOCS;' Amount Due: `a 112 00 SHIP TO: 116124 US Diillar caTY OF CARMEL NET 30 MOM INVOICE DATE CARMEL CLAY COMM CTR /TODD LUCKOSKI 31 1ST AVE NW REMIT PAYMENT TO: ATTN: TODD LUCKOSKI 317 -571 -2590 Black Box Resale Services CARMEL, IN 46032 SDS 12 -0976 PO BOX 86 Minneapolis, MN 55486 -0976 Line Adj Identifier Description Quantity Unit Amt Net Amount 1 FREIGHT FREIGHT AND HANDLING 1 7.00 7.00 2 XM9316CWB NOR MER M9316 ANLG CLL ID BLK 1 105.00 105.00 Subtotal: riz o o:.' ...Total-Amount Due :112:.00 v 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 invoice(s) or bill(s)) 02/23/09 987954 New desk phone Angie $112.00 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. WARRANT NO. Black Box Resale Services ALLOWED 20 SDS, 12 -0976 IN SUM OF P.O. Box 86 Minneapolis, MN 55486 -0976 $112.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1192 987954 44- 631.00 $112.00 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 Mon y, M rch 1 2009 Direc DOCS Title Cost distribution ledger classification if claim paid motor vehicle highway fund