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206784 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 354053 Page 1 of 1 ONE CIVIC SQUARE PROVANTAGE CORP CARMEL, INDIANA 46032 ATTN'. JOANNE NEWMAN CHECK AMOUNT: $540.55 7249 WHIPPLE AVE NW CHECK NUMBER: 206784 NORTH CANTON OH 44720 CHECK DATE: 2/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 R4237000 26345 6216394 540.55 SPARE FIBER TRANSCEIV Whi pple PROVANTAGE I TERMS: NET 30 DAYS SHIP: GROUND SERVICE (D/S) ORDER# 5310625 CUSTOMER# 2431004 PO# 26345 BILL TO Tel: (317)571-2567 SHIP TO Tel: (317)571-2567 ACCTS PAYABLE RECEIVING PO# 26345 CITY OF CARMEL CITY OF CARMEL ONE CIVIC SQUARE THREE CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 Ship Code Description Each Total 10 ACPN0LE 1000BLX SFP SMF 1310NM 10KM F/3COM 52.46 524.60 Optical Transceiver Manufacturer's Warranty FEB 2 7 2012 3 ,-70 Subtotal 524.60 S H 15.95 Total US 540.55 BALANCE DUE THIS INVOICE: !E5-4R70- 15!5 NET 30 DAYS PAY BY 02/27/12 YOUR ORDER WAS TAKEN BY ADAM HENLEY EXT. 134 THANK YOU FOR YOUR ORDER! Invoices: If payment is not received when due, a service charge of 1.5% per month (18% APR) will be applied. EIN 45-3142133 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)) 01/26/12 6216394 $540.55 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 Pro Vantage IN SUM OF 7249 Whipple Avenue NW North Canton, OH 44720 -7143 $540.55 ON ACCOUNT OF APPROPRIATION FOR IS Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 26345 6216394 42- 370.00 $540.55 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 Mon ay, February 27, 2012 Director IS Title Cost distribution ledger classification if claim paid motor vehicle highway fund