178315 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 363435 Page 1 of 1
0 ONE CIVIC SQUARE NOSWORTHY TELECOMMUNICATIONS CHECK AMOUNT: $97.49
1, CARMEL, INDIANA 46032 PO BOX 12518
MILL CREEK WA 98082 -0518 CHECK NUMBER: 178315
biro ia
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4230200 14823 00493319 97.49 SUPRAPLUS HEADSET
1 IL 77 P o�E (425) 745 -6222 Invoice 00493319
(425) 745 -4111
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Nosworthy Telecommunications Distributor
406 764th Street SW, Lynnwood, WA 98087
Remit to: Date 09/29/2009
All PO Box 12518
Mill Creek, WA 98082 -0518
Sold To: 663220 Ship To: 663220
Carmel City Court Carmel City Court
one civic square one civic square
Carmel, IN 46032 Carmel, IN 46032
Contact: Contact:
317 571 2440
Customer PO Number Ship Date Salesperson Terms Tax Code
14823 09/29/2009 Ted Ames NET 30 NOTAX
Document Warehouse Freight Ship Via
00595904 NTD, Inc. PP +ADD UPS Ground
Item Number Description Ordered Shipped Backorder UM Price Per Extension
3006 1 1 0 EA 59.25 EA 59.25
H251
SUPRAPLUS MONAURAL VT
3258 1 1 0 EA 29.95 EA 29.95
A10
Direct Connect Cable Polaris
Additional Charges:
Freight 8.29
1Z9417050394557898
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Merchandise Add On Charges Tax Total Due
89.20 8.29 0.00 97.49
2002_12
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
A
urchase Order No.
Yo.t37L /aS /8 Terms
V) gk 04pxl—k �Ady? OS 1 c Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
q b pp of 33 9 q 7- 49
Total
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
4 41t IN SUM OF
7.�f9
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
f,? 331 3 D.2 9 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 0
11 �3- c
i
Cost distribution ledger classification if —T itle
claim paid motor vehicle highway fund