HomeMy WebLinkAbout167716 01/07/2009 �w CITY OF CARMEL, INDIANA VENDOR: 340082 Page 1 of 1
ONE CIVIC SQUARE WORD SYSTEMS INC
CHECK AMOUNT: $2,667.20
CARMEL, INDIANA 46032 9225 HARRISON PARK CT
INDIANAPOLIS IN 46216 -1089 CHECK NUMBER: 167716
CHECK DATE: 1/7/2009
DEPARTMENT A PO NUMBER INVOICE N UMBER AMOUNT DESCRIPTION
1110 R4351501 18980 123237 2,667.20 IRECORD SYSTEM
A A04
Invoice 123237
V
Customer CPD
Word Systems, Inc.
9225 Harrison Park Court
Indianapolis, IN 46216
Telephone: 317/544 -0499
Bill To: Ship To:
Carmel Police Department Carmel Police Department
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
Invoice Date Ship Via F.O.B. Ter
0 a i Nei 3C- v a 'y'^>
y
Purchase Order Number Salesperson Order Date Our Order Number
GMA- Renewal 06/30/08 None
Quantity Ordered Quantity Shipped Item Number Unit of Measure Unit Price
Back Ordered Item Description Discount Tax Extended Price
1 1 GMA- RNWL -IREC EACH 2667.20 2667.20
0 09/01/08 -08 /31/09 iRecord System #AVA- 31120 -1/2 N
This is for the GMA (General Maintenance Agreement) renewal on your dictation/
transcription, word processing equipment, or voice logging recorder.
PLEASE VERIFY YOUR MODEL NUMBERS AND SERIAL NUMBERS, IF THERE ARE ANY
DISCREPANCIES PLEASE LET US KNOW OTHERWISE WE WILL ASSUME THESE ARE THE
CORRECT NUMBERS. If you have any questions please contact us
at 317- 544 -0499.
Word Systems, Inc. "WSI expressly disclaims any and all warranties express or implied, including but not limited to warranties of
fitness or merchantability or wrth regard to any licensed products. W$l shall not be held liable for any loss of profits, business
interruption, goodwiu, tlata intenupf+on and incidental or consequential damages directly or indirectly relating to any claimed breach
of warranty or this a reement. Merchandise may be returned if in the origqinal packaging provided a restocking fee of not less than
fifteen percent (15 %j or such realer reslacking fee as detremined by WSI's supplier rs pand by customer. Title io the merchandise is
to remain in WSI unul pa men in full is matle. This invoice is payable in accordance wFth the terms hereinabove set forth. A two Nontaxable 2667.20
percent {2l) per month f Hance charge shall be paid on all amounts not paltl as and when due. The sale evidenced by this invoice is
sublect to the terms of WSI's quotation and purchase agreement, if any, and supercedes any prior written ar oral communications to Taxable Subtotal 0.00
the contrary.
Tax (7.000 0.00
Total Invoice 2667.20
Customer Original
Page 1
INDIANA RETAIL TAX EXEMPT PAGE
Cit o f rmel CERTIFICATE NO. 003120155 002 0 nf CVs PURCHASE ORDER NUMBER
,Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 RqRn
3 Q„N ,CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2554 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
November 11. 2008 contract
VENDOR Nord Systems, Inc. SHIP City of Carmel Police Department
9225 Harrison Park Court TO 3 Civic Square
Indianapolis, IN 46216 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
iRecord system 2,667.20
r
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT, PROJECT ACCOUNT AMOUNT
1110 515 maintenance contracts e g pAV EXJT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. I
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUSTAPPEAR ON ALL ORDERED BY fiL/�
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chiedfof Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
1 8980 CLERK- TREASURER
DOCUMENT CONTROL NO A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._ WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice 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 T
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
PrescribeEl by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995)
r 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
Word Systems, Inc. Purchase Order No. 18980RF
9225 Harrison Park Court Terms
Indianapolis, IN 46216 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/30/08 123237 annual payment 2,667.20
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
V CHER NO. WARRANT NO.
ALLOWED 20
Wor Svstems, Inc. IN SUM OF
9225 Harrison Park Court
Indianapolis, IN 46216
2,667.20
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1898ORF 123237 515 -01 2,667. 0 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
January 2 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund