169537 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 357545 Page 1 of 1
ONE CIVIC SQUARE MICROAGE
CHECK AMOUNT: $3,959.30
CARMEL, INDIANA 46032 PO BOX 2941
Mt PHOENIX AZ 85062 -2941 CHECK NUMBER: 169537
CHECK DATE: 3/4/2009
DEPARTMENT ACCOUNT P O NUM INVOICE NUMBER AMOUNT DESCRIPTI
1115 4463201 600097876 3,959.30 HARDWARE
invoice
MicroAgec
A Frontier Technology, LLC Company
P.O. Box 2941
Phoenix, AZ 85062 -2941
(480) 366 -2000
317- 571 -2567
BILL TO: City of Carmel SHIPTO: Carmel- _.Clay -_Communicat,ions_
760 3rd Ave SW 31 First Avenue NW
Suite 110 Terry Crockett -PO 20354
Accounts Payable Carmel IN 46032
Carmel IN 46032
INVOICE NUMBER ORDER NUMBER ACCOUNT CUSTOMER P.O. NUMBER PAYMENT FREIGHT TERMS SALES ID
IN DATE ORDER DATE N
600097876 400083239 102552 20354 Net 30 Days
02/16/09 02/10/09 302
QUANTITY U/M ITEM AND DESCRIPTION UNIT PRICE EXTENDED AMOUNT
DROP SHIPMENT
2 EA 3CR17761 -91 -US 1,968.65 3,937.30
SWITCH 450OG 24 -PORT
1 EA *Freight -IN 22.00 22.00
Tracki g: FDX GRND:
049630440058935
Subtotal 3,959.30
Tax 00331201550=020
Total Due On 03/18/09 3,959.30
Select, Source and Service
C 0 INDIANA RETAIL TAX EXEMPT PAGE
ity CERTIFICATE NO.003120155 002 0 o 11 Carmel PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 20354
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
211012009
MicroAge Carmel Clay Communications
VENDOR SHIP 31 First Avenue NW
TO
P.O. Box 2941 Carmel, IN 46032
Phoenix, AZ 85062 (317) 571 -2596
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44- 632.01
2 Each 3 Corn Switch 4500 G 3CR17761 -91 -US $1,968,65 $3,937.30
1 Each shipping $22.00 $22.00
Sub Total: $3,959.30
o •4�
Send Invoice To: G 00
Carmel Clay Communications
31 First Avenue Nei/
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE /G/.•Z•"a. "'ti
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 0 3 5 4 CLERK- TREASURER
DOCUMENT CONTROL NO A.P.V. COPY SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER WARRANT NO`____
ALLOWED 20
|N THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Pb# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
DEPT 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 ie made were ordered and
veceivodexo*p!
20___.
Signature
noo
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))
02/16/09 I 600097876 I I $3,959.30
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. WAR NO.
ALLOWED 20
MicroAge
IN SUM OF
P.O. Box 2941
Phoenix, AZ 85062
$3,959.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
20354 600097876 44- 632.01 $3,959.30 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
Wednesday, February 25, 2009
0m o-
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund