170887 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 00352582 Page 1 of 1
0 ONE CIVIC SQUARE HEARTLAND SERVICES INC
CARMEL, INDIANA 46032 14206 OVERBROOK CHECK AMOUNT: $871.25
LEAWOOD KS 66224 CHECK NUMBER: 170887
CHECK DATE: 4/16/2009
DE PARTMENT AC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 12636 HSIO182704 871.25 REPAIR MDC
APR -09 -2009 08:02 HEARTLAND SERVICES INC. 913 685 8555 P.01i01
PPCO517130
Pease Pay From This
A INVOICE
BU110 Acct. 9- 00044612 Remit To: HEARTLAND SERVICES, INC.
BRIAN SMITH 14206 Overbrook
CARMEL INDIANA FD Leawood, KS 66224
ONE CIVIC SQUARE (913) 685 -8855
(913) 685 -8555 Fax
CARMEL, IN 46032 PAST DUE
ShinninYAddress Invoice Number HSI0182704
TOM SMALL Date of Invoice 1/28/2009
CARMEL INDIANA FD P.O. Number 12636
2 CIVIC SQUARE
Payment Due Net 30
CARMEL, IN 46032 SHIP VIA; FED EXPRESS
Model: CF- 18KJHDOBM Serial: 6AKYB64016
Description Amount
+H RDWARE REPAIR/REPLACE INS(S3,000 MAX) $15.00
O/W WHOLE UNIT DIAGNOSTICS FEE* $130.00
LCD UNIT ASS''Y $556.65
TOUCH SCREEN PANEL KIT $129.60
Subtotal: $831.25
Shipping /Handling;; $40.00
"Sales Tax: $0.00
Total: $871,25
This cbmw applies even rfyvu choose not to repair the unit.
Kansar customers must pay sales tax on all charge.,
Coverage protects against Iost or damaged hardwaro, either to or from Heartland Services. The maximum value of any cQvernd hardware repair or replacement is
9;3 Repair or replacement is at the sole discretion of Heartland Services, Inc. Software and non Panasonic hardware accessories are not covered
under thisprogram, A decline of this coverage program results in the customer taking ttdl responsibility of any damage or loss while unit is in transit.
Labor and replaced parts are warranted for thirty (30) days. This warranty covers failures due only to defects in materials or
work ship that occur during normal use. Warranty =Iudes custvnzer ahrt.41cartland Services, Inc. makes no warranties,
express or implied, with respect to the software programs used or its medium. Heartland will not be responsible for any loss of data.
Returns are subject to a 15% restocking fee. All sales final after 30 days.
Printed Date: THANK YOU FOR YOUR BUSINESS!
4/9/2009 Visit our web site at www.heartlandsi.com
TOTAL P.01
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))
hsi0182704 Repair MDC $871.25
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
Heartland Services, Inc.
IN SUM OF
14206 Overbrook
Leawood, KS 66224
$871.25
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
12636 hsi0182704 43- 509.00 $871.25 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
APR 13 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund