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Home My WebLink About168594 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00353202 Page 1 of 1 ONE CIVIC SQUARE M/A COM INC CHECK AMOUNT: $20,000.00 CARMEL, INDIANA 46032 PO BOX 371536 PITTSBURG PA 15251 CHECK NUMBER: 168594 CHECK DATE: 2/4/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4351502 18419 90954702 20,000.00 EDACS FX AGREEMENT F� r®' Please Ftert 7v Tyco Electronics CDtIA, Enc :ii x 371536 MIA -COM, Inc. Wireless Network Pats #04 PA E525t 7536 Solutions Invoice 1011 Pawtucket Boulevard Lowe# MA 01853 REPEAT PRINTOUT Bdtrn Address Account Ref :I 26051. Irtforrrmfiivn 9 Carmel, City of Invoice Number 90954702 l Carmel Clay Communications Center Invoice Date 01/16/2009 31 1st Avenue N.W. Purchase Order No. 18419 Carmel IN 46032 Purchase Order Date 01/16/2009 Sales Order Number 309642 Shlpprng A ddress Accc�urRt Ref 26061 Incoterms EXW Shippers Plant Carmel, City of Payment Terms Net 30 Days Carmel Clay Communications Center 31 1st Avenue N.W. Carmel IN 46032 P�ye3 Address Account Ref 26t�61 1 of 1 Carmel, City of For all Invoice Issues please contact Carmel Clay Communications Center Jeff Aultice 31 1st Avenue N.W. :e. ep. one 434 455-923 2 Carmel IN 46032 IFAX ;800 &3..7592 For;all atler xssces core #act your customer; ssrusce representative Invoice Details �Ilrrercy USb Item Material Quantity Unit Price Amount Description 0010 SSSV1 C 1 EA 20,000.00 20,000.00 SERVICE,SW,ANNUAL,LVL 2 SGL SITE W /DISP per 1 EA Subtotal 20,000.00 Tax Amount 0.00 Total Amount 20,000.00 The items above are sold for use in the U.S. only. Any export may require prior authorizatiot by the U.S. Gover ment. The purchaser solely is responsible for complyi g with all U.S. export licensing equirements. Contact: Janet Arnone h: 317 -571 -2586 Billing Period: 01/01/09 12/31/09 nnual renewal of Software FX agreement per Amendm nt dated 01/07/C9 and Purchas Order 1 18419 dated 01/07/09 00146 00213 9 INDIANA RETAIL TAX EXEMPT PAGE City Carmel CERTIFICATE NO. 003120155 002 0 o 11 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 13419 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 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 1I?I2009 MIA -Com Carmel Clay Communications ,VENDOR SHIP 31 First Avenue NW TO 221 Jefferson Ridge Parkway Carmel, IN 46032 Lynchburg, VA 24501 (317) 571 -25 ®6 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43- 515.02 1 Each EDACS FX Agreement $20,000.00 $20,000.00 Sub Total: $20,000.00 r' Send Invoice To: Carmel Clay Communications 31 First Avenue NW Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Communications PAYMENT $20,000.00 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 F 9 THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. 1w ORDERED BY ,.4ar e ,,ss• -G--�] P PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE �"�✓G 1� r /`7��`°^� AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. j a A l CLERK- TREASURER DOCUMENT CONTROL NO A 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(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 i 20 Signature Title I i Cost distribution ledger classification if claim paid motor vehicle highway fund i 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)) 01/16/09 I 90954702 I I $20,000.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 M/A -Corn IN SUM OF 221 Jefferson Ridge Parkway Lynchburg, VA 24501 $20,000.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 18419 90954702 43- 515.02 $20,000.00 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 Tuesday, January 27, 2009 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund