207629 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 366077 Page 1 of 1
ONE CIVIC SQUARE TEAM INTEL LLC
CARMEL, INDIANA 46032 PO BOX 407 CHECK AMOUNT: $523.00
STEVENSVILLE MI 49127 CHECK NUMBER: 207629
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4467001 26890 1520 523.00 TASK FORCE EQUIPMENT
°1EAM1 NTEL Inv ®ice.
INTELLIGENCE EQUIPMENT
P.O. Box 407 Date Invoice i
Stevensville, MI 49127
Federal ID #27- 1468241 3/5/2012 1520
(269) 208 -0922
Bill To REMITTANCE INSTRUCTIONS:
Hamilton /Boone County DTF Please make payment to:
Marie Doan Teamintel, L.L.C.
3 Civic Square Checks to be mailed to:
Carmel, IN 46032
Teamintel, L.L.C.
Attn: Clark Lybbert
P.O. Box 407
Stevensville, MI 4
P.O. Number Terms Rep Ship Via F.O.B. Account
t
f
26890 Net 30 MW 3/5/2012 UPS Stevensville 00- 46032 -00
Quantity Item Code Description Price Each Amount
1 10628 New Button Cam Pocket DVR with 2.5" LCD Screen 379.00 379.00
1 10628 -Batt Replacement battery for button camera 20.00 20.00
1 10628 -Cam Camera with audio 79.00 79.00
1 20000 8 GB MicroSD card with ultra mini USB micro SD card 30.00 30.00
reader.
1 Shipping Shipping Handling 15.00 15.00
I
i
I s
I
f
i
1
Thank you for your order. All returns are subject to a 20% re- stocking fee. Total $523.00
INDIANA RETAIL TAX EXEMPT PAGE
f C armel PURCHASE CERTIFICATE NO.003120155 002 0 1 OR 1
ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26890
35- 60000972
3 1. Tjrff CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
3/5/12
VENDOR Teamintel LLC SHIP Hamilton /Boone County Drug Task Force
P.O. Box 407 TO 3 Civic Square
Stevensville, MI 49127 Carmel, IN 46032
ttn: Darin Trover
CONFIRMATION BLANKET I CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 ea. 10628 NEW Button Cam Pocket Digital Video
Recorder $379.00 $379.00
1 ea. 10628 -BAT Replacement Batter for the Button
Cam S y ti 20.00 20°00
If s
1 ea. 10602 Ex ra
t C'o r came° EW :C��o for Butto a
g r
Cam s$ m 79.00- $79.00
1 ea. 20000 icro SD card with tW6 ac p�ers 30.00 30.00
z�� m
1 ea. Freigb Shipping 'And Hand,��3. g Vi 16.00 15.00
e I'IX
Rm
sq ;a
'k, a
4
k r'
0
Send Invoice To: Hamilton /Boone CountYltiagTsk�For,,e
3 Civic Square
Carmel, IN 46032
Attn: Marie Doan
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
911 670 -01 2012 -911 PAYMENT 2012 -2 $523.00
Task Force Equip 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
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY Aaron Dietz NIX
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Major
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 2 6 8 9® A.P.V. COPY SIGN AND RETURN TO CLE 'S FFICE
VOUCHER NO......_._.._ WARRANT
ALLOWED 20—
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO& or
DEPT. INVOICE NO. ACCT#MTLE AMOUNT 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))
03/05/12 1520 $523.00
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
Teamintel LLC
IN SUM OF
P.O. Box 407
Stevensville, MI 49127
$523.00
ON ACCOUNT OF APPROPRIATION FOR
Project 2012 -911 Task 2012 -2
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
26890 1520 44- 670.01 $523.00
I hereby certify that the attached invoice(s), or
I I I
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
Friday, March 16, 2012
a 4 D-"C�
M
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund