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172536 05/13/2009
CITY OF CARMEL, INDIANA VENDOR: 361114 Page 1 of 1 s ONE.CIVIC SQUARE SELECTIVE SYSTEMS INC. CHECK AMOUNT: $527.25 CARMEL, INDIANA 46032 4230 S MADISON AVE INDPLS IN 46227 CHECK NUMBER: 172536 CHECK DATE: 5/13/2009 DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION x1047 4350000 09 #173 350.25 EQUIPMENT REPAIRS M 1047 4350000 09 #97 177.00 EQUIPMENT REPAIRS M Inv ®ice Selective Systems, Inc. RECFC ,��T 1 DATE INVOICE APR 1 5 2009 4230 S. Madison Ave. 4/8/2009 09 #173 Indianapolis, IN 46227 (317) 783-0077 FAX: (317) 783-37377 BILL TO SHIP TO Carmel Clay Parks 4 Recreation Carmel Clay Monon Attn: Accounts Payable 1.235 Central Park Drive East Carmel, IN 46032 P.O. NUMBER TERMS REP SHIP F. 0. B. PROJECT S. LePere Due on receipt 3/26/2009 Neil E. QUANTITY ITEM CODE DESCRIPTION U/M PRICE EA... AMOUNT 1 MISC Computer to Video Module 1.29.00 129.00T 2.5 Technical Service Call and Labor, Camera video was 88.50 221.25 unplugged from the modulator in Fitness A and someone had erased the channels from the television making DirecTV inaccessible, black switch.box was not.. out, it simply automatically shuts down lights in a power saving mode, 1st floor receiver was on an XM station switched to channel with picture, integrated TV to PC module, modulated output video for PowerPoint and verified proper functioning with Scott Tax Exempt 0.00 0.00 Purchase R .PAl2S ro Description S P.O. L v P of NO c Budget Line Destx 1 7 Dl Purchaser ate R g ._a�9 Approval I ate I Q. Total Call Us For HD Flat Panel Displays, Surround. Sound Systems, Closed Circuit Cameras and Mobile Satellite Systems for RV's, Boats, Etc. k zy D Invoice Selective Systems, Inc. LIAR DATE INVOICE 1_ ZnQ9 4230 S. Madison Ave. 3/10/2009 09 #97 BY= Indianapolis, IN 46227 (317) 783-0077 FAX: (317) 783-373 BILL TO SHIP TO Carmel Clay Parks Recreation Carmel Clay Parks Recreation Attn: Accounts Payable Carmel Clay West 1235 Central Park Drive East Carmel, IN 46032 P.O. NUMBER__ TERMS REP SHIP F.O.B. PROJECT S. LePere Due on receipt 2/26/2009 Claude D. QUANTITY ITEM CODE DESCRIPTION U/M PRICE EA... AMOUNT 1 MODULATOR CTARM4 Modulator -No Charge 0.00 O.00T 2 Technical Installed new modulator and set up 88.50 177.00 Tax Exempt 0.00 0.00 APR 0 6 1009 Purchase Description aO P.O.9 P o P G. L. "f fi' qma© 4 1 f Budge Lne De scr Purchaser di Y �e Date C0 Approval Date )_07 To Call Us For HD Flat Panel Displays, Surround Sound Systems, Closed Circuit Cameras and Mobile Satellite Systems for RV's, Boats, Etc. 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. 361114 Selective Systems, Inc. Terms 4230 S Madison Ave Indianapolis, IN 46227 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 418109 09 #173 Repairs to fitness equipment tv's 20756 F 350.25 3110109 09 #97 Repairs to CCTV for fitness 20598 177.00 Total 527.25 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 4 Voucher No. Warrant No. 361114 Selective Systems, Inc. Allowed 20 4230 S Madison Ave Indianapolis, IN 46227 In Sum of 527.25 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #FFITILE AMOUNT Board Members Dept 1047 09 #173 4350000 350.25 1 hereby certify that the attached invoice(s), or 1047 09#97 4350000 177.00 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 7 -May 2009 Signature 527.25 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund