173041 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 00352817 Page 1 of 1
ONE CIVIC SQUARE SPECTRACOM CORP CHECK AMOUNT: $603.00
CARMEL, INDIANA 46032 95 METHODIST HILL DR
STE 500
CHECK NUMBER: 173041
ROCHESTER NY 14623
CHECK DATE: 5/27/2009
DEPARTMENT ACCO UNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4463000 M13695 603.00 FURNITURE FIXTURES
A r
L
S P E C T R A CCU
SYNCHRONIZING CRITICAL OPERATIONSTm INVOICE
Spectracom Corporation Invoice ID: M -13695
95 Methodist Hill Drive Suite 500 Date: 5/6/2009
Rochester, NY 14623 Order No: T -29589
Phone 585.321 -5800 Page No: 1
Fax 585.321 -5219 F.O.B: ROCHESTER
Bill To Address Ship To Address
CARMEL CLAY COMMUNICATIONS CARMEL CLAY COMMUNICATIONS
31 FIRST AVE. N.W. 31 FIRST AVENUE NW
ATTN: ACCOUNTS PAYABLE CARMEL, IN 46032
CARMEL, IN 46032 USA
USA
CUSTOMER ID CUSTOMER PO PAYMENT TERMS FREIGHT TERMS
002168 20368 NET 30 Freight: Billed
SALES. -.REP ID SHIPPING METHOD SHIP DATE INVOICE DATE
B00 UPSGR 516/2009 5/6/2009
QUANTITY I T UNIT EXTENDED
ORD I SHIP I B/O MODEL AND OPTIONS PART NO. IX PRICE PRICE
1 1 0 TV312W 1183 1031 -0600 $595.00 $595.00
SERIAL NO:: 4415
1 1 0 TV210 ANC KIT 1001- 0000 -0701 $0.00 $0.00
1 1 0 TV312 MANUAL 1183 5000 -0050 $0.00 $0.00
ORDER SPECIFICATIONS
SUB TOTAL: $595.00
FREIGHT CHARGES: $8.00
TOTAL AMOUNT DUE: $603.00
IF YOU HAVE QUESTIONS ON HOW THIS INVOICE WAS CALCULATED, OR QUESTIONS ABOUT ANY OF OUR OTHER PRODUCTS,
PLEASE CONTACT OUR SALES OFFICE AT 585 321 -5800.
PLEASE REFERENCE THIS INVOICE NUMBER ON YOUR CHECK REMIT T
SPECTRACOM CORPORATION SPECTRACOM CORPORATION
95 METHODIST HILL DR 95 METHODIST HILL DR
STE 500 STE 500
ROCHESTER, NY 14623 ROCHESTER, NY 14623
I) I
4 INDIANA RETAIL TAX EXEMPT PAGE
l 1i o I' Carmel CERTIFICATE NO. 003120155 002 0
C PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 20365
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
3IM12009
Spectracom Corp Carmel Clay Communications
VENDOR SHIP 31 First Avenue NW
95 Methodist Hill Drive, Ste 500 TO Carmel, IN 46032
Rochester, NY 14623 (317) 571 -2596
CONFIRMATION BVUENITOF CONTRACT PAYMENT TERMS FREIGHT
QUANTITY MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44- 530.00
1 Each Time View Analog Display Clock IV312W $595.00 $595.00
Sub Total: $595.00
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Send Invoice To:
Carmel Clay Communications
31 First Avenue NW
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Communications PAYMENT $595.00
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
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. J ,�i
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 0 g CLERK TREASURER
DOCUMENT CONTROL NO. A.P. 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
05/06/09 I M -13695 I I $603.00
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
Spectracom Corp
IN SUM OF
95 Methodist Hill Drive, Ste 500
Rochester, NY 14623
$603.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 M -13695 44- 630.00 $603.00 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
Monday, May 18, 2009
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund