206743 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 365798 Page 1 of 1
ONE CIVIC SQUARE LONG RANGE SYSTEMS CHECK AMOUNT: $28.95
CARMEL, INDIANA 46032 PO BOX 202056
DALLAS TX 75320 -2056 CHECK NUMBER: 206743
CHECK DATE: 2/28120/2
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 IN246575 28.95 GENERAL PROGRAM SUPPL
Please Remit Payment To: INVOICE
Long Range Systems, LLC IN246575
4550 Excel Parkway, Suite 200 Date 2/8/2012
Addison, TX 75001 Acct. No. CUST96370
8K437,4996 trS w.pagernet Terms Net 30
Due Date 3/9/2012
PO MC002572
Sales Rep Amado Calvo
Partial Fulfillment No
Sales Type Re -Order
Created From Sales Order #S0248506
Dawn Koepper Ship via FedFx Ground Service
Carmel Clay Parks Recreation Tracking 041593366124741
Critical No
1411 E. 116th Street
Install Address
Administrative Offices Ordered By Dawn Koepper
Carmel IN 46032 Special Instructions Please use PO MC002572
United States Promo Code
Ship Hold No
Item Quantity I Description Rate SIN Amount Item Notes
K2 -0014 1Z Cradle for RX -SP4 1.50 18.00
FedEx Ground Service 1 10.95 10.95
Total 28.95
Amount Due $28.95
Ship To
Dawn Koepper
Carmel Clay Parks Recreation
Please remit payment to:
1235 Central Park Dr
Carmel IN 46032 Long Range Systems
United States 4550 Excel Parkway, Suite 200
Addison, TX 75001
A 15% restocking fee and shipping and handling fee will be charged should any or all of the ordered product be returned to the manufacturer for any reason
within 15 days of shipping. Radio headsets may not be returned. International Customers All products are shipped FOB Callas, TX. We are not responsible for
products detained by Customs in your country. The purchaser agrees to payment in full per the terms of this order and acknowledges responsibility for all
reasonable costs and collection including but not limited to reasonable legal fees. I am a duly authorized officer of the ordering company and have the authority
to make this purchase and all commitments and promises contained herein. This order acknowledgement form is acceptable and binding unless we receive
written notification to the contrary prior to shipment. LRS standard terms and conditions apply.
Purchase
Description P Gtn1 �1��p_ I�i1 17"Ct
P.O. Poo5
77 V-3
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Budget Y m �1 le� FEB t�
Purchaser
Approval Dato BYo
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Long Range Systems Terms
4550 Excel Parkway, Suite 200
Addison, TX 75001
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2!8112 IN246575 Paging equipment Kidzone 28.95
Total 28.95
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 1 Q 1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Long Range Systems Allowed 20
4550 Excel Parkway Suite 200
111 V
Addison, TX 75001
new address In Sum of
28.95
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -41 IN246575 4239039 28 .95 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
23 -Feb 2012
Signature
28.95 Accounts Payable Coordinator_
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund