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206731 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 178620 Page 1 of 1 ONE CIVIC SQUARE KUSTOM SIGNALS, INC CHECK AMOUNT: $514.03 CARMEL, INDIANA 46032 PO BOX 411882 ArrN: ACCTS REC CHECK NUMBER: 206731 KANSAS CITY MO 64141 -1882 CHECK DATE: 2/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350000 26059 457595 248.03 REPAIRS TO ANTENNA 1110 4350000 457820 133.00 EQUIPMENT REPAIRS M 1110 4350000 457821 133.00 EQUIPMENT REPAIRS M Invoice Number 457595 Invoice KUSTOM SIGNALS, INC. Customer Copy REMIT-M" Invoice Date 02/10/12 A PUBLIC SAFETY EQUIPMENT COMPANY Customer Number 16673 1010 W. Chestnut/ P.O. Box 947 KUSTOM-S €GNALS INC Chanute, KS 66720 -0947 PO. BOX 411882 Order Number 177561 SR (620) 431 -2700 Fax (620) 431 -2734 KANSAS.CITY M06414'1 x1 882;7 Customer PO 26059 SOLD TO Page 1 of 2 CARMEL POLICE DEPT SHIP TO POLICE DEPT HDQTRS CARMEL POLICE DEPT 3 CIVIC SQUARE POLICE DEPT HDQTRS CARMEL IN 46032 3 CIVIC SQUARE CARMEL IN 46032 Net Due Date 03/11/12 Terms net 30 Shipping UPS 49506 E,c xog R Extentlet Nurnger DESCRiP ION I�Sertal�# Pace aau? --m... .rt. n,. ,a&e:a,�,a� ...+a. „a s e .c m.'3 a ¢•.m 1 200- 1727 -OOR ASSY KA -BAND ANTENNA SMT Serial Number(s) KM23498 49506 KM23498 ANTENNA OW 04/25/04 Poor range no speeds Jason Ogle 317 733 -4600 jogle@carmel.in.gov 1 888 8888 -46 CS PL2,3 FREIGHT GND 13.26 13.26 INBOUND SHIPPING CHARGES UPS 1 TRACKING DATE SUMMARY FOR THIS REPAIR UNIT RECEIVED 1125112 RO REFERRED TO ACCOUNTING TECHNICIAN START /END DATE:1 /31112 DATE REPAIRED: TECHNICIAN START /END DATE:211112 ESTIMATE EMAILED: 2/2112 ESTIMATE APPROVED: 2/8112 DATE SHIPPED 2/10112 1 007- 6118 -00 DIODE KA MIXER 67.24 67.24 1 200- 1458 -80 CHOKE ASSY KA -BAND CS 11.11 11.11 2 187 0133 -00 O -RING RUBBER KA ANT END 0.91 1.83 4 187 0134 -00 O -RING NEOPRENE .101 I.D. 0.40 1.59 1 222 2312 -00 CS RADAR RECERTIFICATION 1 222 2312 -01 CS ROAD TEST ASSESSMENT 1 222 2312 -02 CS RADAR HEATED CHAMBER BURNIN 13 111 1111 -13 OOW Radar Labor tenths of hr 8.50 110.50 OOW Radar Labor tenths of hr Repaired the antenna microwave assembly. replaced all antenna seals. Checked antenna frequency and sensitivity. Certified the antenna. REMIT TO: FEDERAL ID 43- 1757730 KUSTOM SIGNALS, INC. PO BOX 411882 KANSAS CITY, MO 64141 -1882 Continued WWW.KUSTOMSIGNALS.COM KUSTOM SIGNALS, INC. TERMS AND CONDITIONS I. APPLICABILITY. Unless otherwise specified in a liabilities and costs, including attorneys' fees, incurred or written bid, quote or contract, the following terms and sustained by Seller as a result of any third party claim made conditions shall apply. against Setter, including a claim by a customer of Buyer, arising from its negligent, reckless, willful, or intentional 2. PRICES AND TAXES. Prices will be Kustom Signals, actions in marketing and reselling the goods. Inc.'s "Seller prices in effect on the date a purchase order is accepted by Seller, and Seller may change its 10. EXPORT RULES. Exports and re- exports of the prices at any time, in its sole discretion. All prices will be goods may be subject to United States export controls and F.O.B. Chanute, Kansas, and net of any duties, sales, use or sanctions administered by the U.S. Department of similar taxes, fees or assessments, and do not include Commerce Bureau of Industry and Security under its shipping, packaging or any insurance costs, all of which are Export Administration Regulations "EAR Buyer shall Buyer's responsibility. comply with all laws, rules and regulations applicable to the export or re -export of goods including but not limited to 3. PAYMENT. Unless otherwise provided on the face of EAR which includes, among other things, screening the invoice, payment is due 30 days after invoice date in potential transactions against the U.S. Government's (i) list US dollars. Partial payments are not permitted unless of prohibited end users, and (ii) list of prohibited authorized in writing. Partial payments will be treated as countries. Buyer represents and warrants that (i) it has not non payment. Each invoice is independent from shipping been charged with, convicted of, or penalized for, any sequence and disputes relating to other invoices. Failure to violation of EAR or any statute referenced in EAR pay an invoice within 30 days will be considered a default. §766.25, and (ii) it has not been notified by any government official of competent authority that it is under 4. DELIVERY AND PERFORMANCE. Delivery dates investigation for any violation of EAR or any statute are approximate. Seller disclaims all liability for late or referenced in EAR §766.25. partial delivery. Seller may deliver in such lots and at such times as is convenient for Seller. 11. MISCELLANEOUS. These terms and conditions, together with any other written agreement between Buyer 5. LOSS IN TRANSIT. Risk of loss will pass to Buyer and Seller, if any: (i) are the exclusive statements of the upon delivery of the goods to the carrier. In case of parties with respect to the subject matter and supersedes breakage or loss in transit, Buyer will have notation of any prior or contemporaneous communications; (ii) may same made on expense bill before paying freight. Seller not be amended except in writing executed by the parties may reject claims for shortages not made within 15 days of and will prevail in any case where the terms of Buyer's Buyer's receipt of the goods. purchase order or other communication are inconsistent; (iii) will be interpreted and enforced in accordance with the 6. TERMINATION, RESTOCKING CHARGES. Buyer laws of the State of Kansas, without giving effect to may terminate this purchase order for its convenience, in principles of conflicts of law. These terms and conditions whole or in part, by written, faxed or telegraphic notice at are: (1) solely for the benefit of the parties, and no any time. If Buyer terminates this purchase order for provision of these terms and conditions will be deemed to convenience, Buyer will be liable to Seller for Seller's confer upon any other person any remedy, claim, liability, reasonable costs incurred in the performance of this reimbursement, cause of action or other right. Each party purchase order that Seller cannot mitigate. Unless consents to the exclusive personal jurisdiction of the state otherwise agreed upon in advance in writing by Seller, and federal courts located in the State of Kansas for Setter may charge Buyer a 25 %n restocking fee, if: (a) upon purposes of any suit, action or other proceeding arising out approval by Seller, the Buyer returns any non defective of this Agreement, waives any argument that venue in any goods covered by this invoice; or (b) prior to shipment, but such forum is not convenient and agrees that the venue of after the goods are produced by Seller, Buyer cancels the any litigation initiated by either of them in connection with order for the subject goods. this 7. WARRANTY. Seller's warranty is provided separately. Agreement will be in either the District Court of Johnson County, Kansas, or the United States District Court, S. LIMITATION OF LIABILITY. SELLER IS NOT District of Kansas. If any provision of these terms and LIABLE FOR ANY CONSEQUENTIAL, INDIRECT, OR conditions is unenforceable, the remaining provisions will INCIDENTAL DAMAGES, OR ANY LOST PROFITS remain in effect. No waiver (whether by course of dealing OR LOST SAVINGS, EVEN IF A SELLER or otherwise) is effective unless it is made in writing and REPRESENTATIVE HAS BEEN ADVISED OF THE signed by the party to be charged with such waiver. Unless POSSIBILITY OF SUCH LOSS, DAMAGES, CLAIMS otherwise specified in writing, notices must be given in OR COSTS, NOR IS SELLER LIABLE FOR ANY writing by registered or certified mail, return receipt CLAIM BY ANY THIRD PARTY. SELLER'S requested, addressed to: AGGREGATE LIABILITY UNDER OR IN CONNECTION WITH THIS PURCHASE ORDER IS Kustom Signals, Inc. LIMITED TO THE AMOUNT PAID FOR THE GOODS. Attn: Sales Dept. 9652 Loiret Boulevard 9. INDEMNIFICATION. Buyer will indemnify, defend Lenexa, KS 66219 and hold Seller harmless from all losses, damages, Invoice Number 457595 Invoice KUS4'OMI SIGNALS INC. Customer Copy REMIT TO 3 f Invoice Date 02/10/12 A PUBLIC SAFETY EQUIPMENT COMPANY Customer Number 16673 1010 W. Chestnut I P.O. Box 947 KU$TOM SIGNALS INC Chanute, KS 66720 -0947 PO.WX 4- 11882 .fir Order Number 177561 SR (620) 431 -2700 Fax (620) 431 -2734 KANSAS�ClTY,..MO 64.141 -1882 Customer PO 26059 SOLD TO Page 2 of 2 CARMEL POLICE DEPT SHIP TO POLICE DEPT HDQTRS CARMEL POLICE DEPT 3 CIVIC SQUARE POLICE DEPT HDQTRS CARMEL IN 46032 3 CIVIC SQUARE CARMEL IN 46032 Net Due Date 03 /11/12 Terms net 30 Shipping UPS 49506 y h �.x^'r 4 S s'"'° F'" �',�.aa'm. -^i7:' Quant�ty� �..z._.�� s Extended Parts =Number DESCRIT fON15er�al x "a a. KM23498 35.496ghz 1 222 2312 -04 CS RADAR SIMULATOR ANALYSIS 5 111 1111 -13 DOW Radar Labor tenths of hr 8.50 42.50 OOW Radar Labor tenths of hr #309 REMIT TO: FEDERAL ID 43- 1757730 Subtotal 248.03 KUSTOM SIGNALS, INC. B O X 411882 I 1 %Tax 0.00 PO KANSAS CITY, MO 64141 -1882 III VIII III�Ililllll�lll��� TOTAL 248.03 WWW,KUSTOMSIGNALS.COM INDIANA RETAIL TAX EXEMPT PAGE ci ty Carmel CERTIFICATE NO. 003120155 002 0 f PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2M 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 22W2 Kustom GIgnmis Camel Pollco DepaKment VENDOR SHIP 3 CIVIC squm TO P.C. Box 41IN2 Cumol, IN 4I Kmaaa City, MC 649414882 (317)571-2 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43.00 9 Each repairs to antenna $248.63 $248.03 Star Total: $248 4 O'n 1177i ff °e 1 f Send invoice To: Camel Pollce Dopartment Attn: Tamar Andoma n 3 Civic Squa Camel, IN 4m— PLEASE INVOICE IN DUPLICATE DEPARTMENT CCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cwmel Police Dept. r r PAYMENT $246.03 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY11JATTHERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPRO� RA 0 SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. /f PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY J f SHIPPING LABELS. e I IGf of Poll'ce THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. c 6059 CLERK- TREASURER DOCUMENT CONTROL NO. b A.P .V. COPY SIGN AND RETURN TO CLERK' OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF ry 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 Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Kustom Signals IN SUM OF P.O. Box 411882 Kansas City, MO 64141 -1882 $248.03 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 26059 I 457595 I 43- 500.00 I $248.03 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 Thursday, February 23, 2012 Chief of Police Title 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 02/10/12 457595 antenna repairs $248.03 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 P Invoice Number 457820 Invoice KU SIGNALS, INC Customer Copy REM_ IT TQ Invoice Date 02/14/12 A PUBLIC SAFETY EQUIPMENT COMPANY Customer Number 1$699 1010 W. Chestnut I P.O. Box 947 KUSTOM SIGNAL$ INC Chanute, KS 66720 -0947 PO'BOX 41x1882 Order Number 178097 SR (620) 431 -2700 Fax (620) 431 -2734 KANSAS CITY M064141; °1882,a Customer PO SOLD TO Page 1 of 1 CARMEL CLAY COMMUNICATIONS SHIP TO CENTER CARMEL CLAY COMMUNICATIONS CI 31 1 STAVE NW 31 1 STAVE NW CARMEL IN 46032 CARMEL IN 46032 Net Due Date03 115/12 Terms net 30 Shipping UPS 49798 11 `s 3 .ors, 1 y �..py„ v.. n I :I'll e "�"a, we �"s. ;x w y Qlla/Itatj! �a•f u I= xtenderl Slarpped, j q arl Numbr DESCRIPATI,QN! Serial q lPrace Pr'c`e 1 200 2072 -OOR PRO -LITE REPAIR 49798 LP03014 OW 07/22/09 Please calibrate and re- certify the unit. Thanks. Brian Smith 317 571 -2586 bmsmith @carmel.in.gov 1 888 8888 -33 CS FREIGHT GROUND 18.00 18.00 OUTBOUND SHIPPING CHARGES UPS 1 TRACKING DATE SUMMARY FOR THIS REPAIR UNIT RECEIVED 2/13112 Technician Start/End Date:2114/12 Date Repaired2 /14/12 DATE SHIPPED 2/14/12 1 064 0075 -RC PL3 RECERTIFICATION 115.00 115.00 15 111 1111 -11 OOW Laser Labor tenths of hr OOW Laser Labor tenths of hr I recertified the Pro -Lite LP03014 as requested by the customer. 7mm TOTAL Pulse Width Calibration 18.38 138.1 27.87 20.000033 REMIT TO: FEDERAL ID 43- 1757730 Subtotal 133.00 KUSTOM SIGNALS, INC. PO BOX 411882 IIff ff %Tax 0.00 �II IIIII�I�IIIIII�IIII� II �II KANSAS CITY, MO 64141 -1882 TOTAL 133.00 WWW.KUSTOMSIGNALS.COM Invoice Number 457821 Invoice KUSTOM SIGNALS, INC. Customer Cop A PUBLIC SAFETY EQUIPMENT COMPANY REMIT TO a Invoice Date 02/14/12 1010 W. Chestnut I P.O. Box 947 KUSTOM SIGNALS INC Customer Number 16699 Chanute, KS 66720 -0947 Po80X,4 "11882 Order Number 178098 SR (620) 431 -2700 Fax (620) 431 -2734 KANSAS:CITY`z" ;,64141 1882: Customer PO SOLD TO Page 1 of 1 CARMEL CLAY COMMUNICATIONS SHIP TO CENTER CARMEL CLAY COMMUNICATIONS CI 31 1 STAVE NW 31 1 STAVE NW CARMEL IN 46032 CARMEL IN 46032 Net Due Date 03/15/12 Terms net 30 Shipping UPS 49798 Sp a °a x l! 'I'artNumber�� °DESCRIPTIONJSertal xtended 7 NU 01! Price S 11,1} pr- a:d#x..���1` 1 200- 2072 -OOR PRO -LITE REPAIR 49798 LP02221 OW 03/02/09 Please calibrate and re- certify unit. Thanks. Brian Smith 317 -571 -2586 bmsmith@r-armel.in.gov 1 888- 8888 -33 CS FREIGHT GROUND 18.00 18.00 OUTBOUND SHIPPING CHARGES UPS 1. TRACKING DATE SUMMARY FOR THIS REPAIR UNIT RECIEVED 2/13112 Technician Start/End Date:2 114112 Date Repaired: 2114112 DATE SHIPPED 2/14/12 1 064 0075 -RC PL3 RECERTIFICATION 115.00 115.00 15 111 1111 -11 OOW Laser Labor tenths of hr OOW Laser Labor tenths of hr I recertified the Pro -Lite LP02221 as requested by the customer. 7mm TOTAL Pulse Width Calibration 17.34 137.6 29.35 19.999796 REMIT TO: FEDERAL ID 43- 1757730 ff II Subtotal 133.00 KUSTOM SIGNALS, INC. I IIII�II��III��II[��III�II %Tax 0.00 PO BOX 411882 KANSAS CITY, MO 64141 -1882 TOTAL 133.00 WWW. KUSTOMSIGNALS.COM VOUCHER NO. WARRANT NO. ALLOWED 20 Kustom Signals IN SUM OF P.O. Box 411882 Kansas City, MO 64141 -1882 $266.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1110 457820 43- 500.00 $133.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1110 457821 43- 500.00 $133.00 materials or services itemized thereon for which charge is made were ordered and received except Friday, February 24, 2012 Chief of Police Title 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 02/14/12 457820 radar calibration Spillman $133.00 02/14/12 457821 radar calibration Stites $133.00 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