209538 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 356599 Page 1 of 1
0 ONE CIVIC SQUARE FRY'S ELECTRONICS
CARMEL, INDIANA 46032 600 EAST BROKAW ROAD CHECK AMOUNT: $478.40
SAN JOSE CA 95112 -1016 CHECK NUMBER: 209538
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 4255904 478.40 OTHER EXPENSES
III IIIIIIIIIIIIII .III
Store ELECTRONICS Cus OICE IAY 29 2012 INVOICE 4255904
CUSTR 66393
9.820 Kincaid Drive REGISTER 19
Fishers, IN 46038` PAGE 1
PHONE:. 317) -594-310 By Lanich, Terri 144818
FAX.: (317 594 -3269 May 2'9 l;l 24 S9 2012
CUSTOMER BILLING INFORMATION CUSTOMER SHIPPING: INFORMATION
ACCOUNTS PAYABLE ACCOUNTS PAYABLE
CARMEL WASTE WATER TREAITMENT PLANT CARMEL WASTE WATER TREATMENT PLANT
760 THIRD :AVE.SW,SUITE 110 9609 HAZEL DELL PARKWAY
CARMEL, IN 46032 INDIANAPOLIS, IN 46280
VOICE: (317) 571 -2443 Ext: VOICE: (317) 571 -2634 Ext:
FAX: (317) 571 -2265 Ext: FAX: Ext:
RESALE INFORMATION FO r �hC pe
0003120155002
IILINEI PRODUCT CODE 1 PLU I ITEM DESCRIPTION Unit Price I Adjustments I Net Price I Quantityl Ext Price I SALES ASSOCIATE(s) II
li i i i I i i i I i i
II 1 1 649532008803 1 43411751 CYBER POWER 2800J SURGE 1 16.85 I 0.00 1 16.85 1 3 1 50.55 I
Cyber.Power 280 Surge 1
11 1 80utiet,.2800Joules'surge 1 NONTAXABLE RESALE I 11
11 1 Phone /Fax /MOdmJCoax
II 1 880
I r
11 2 1 722868594285 1 51797061 BELKIN HOME 2320 JOULES 1 17.99 I 0.00 1 17.99 1 6 1 107.94 I II
1 BELKIN HOME 2320 JOULES I i I 1
1I 1 7 OUTLETS, 12FT CORD 1 NONTAXABLE RESALE I II
11 1 TELEPHONE PROTECTION
II I BE10200 12 I II
I
11 3 1 813020010498 1 60063781 UL624M825WT -6FB 25' C5E 1 9.99 1 0.00 1 9.99 1 10'1 99.90 I II
11 UL624M825WT 6FB 25' C5E 1 I
11 1 25' WHITE CATSE PATCH 1 NONTAXABLE RESALE 1 11
CORD II
11 1 UL624M825WT -6FB 1 11
I 4 1 813020010429 1 6006300,1 UL624M814BU 8FB 14' C5E 1 6:29 1 0.00 1 6.29 I 1 1 6429 1 I1
1 UL624M814BU 8FB 14' C5E 1
II 14:!'>BLUE CAT5E PATCH 1 NONTAXABLE RESALE II
II 1 CORD II
11 1 UL624M814BU -8 FB 1 II
II I
I I
Continued on Next Page
III I I II I II IIIIIIIIIIIIIIIIIIIIII�III II Illlilllll I
Il�ilf
FRY'S ELECTRONICS Customer Copy INVOICE 4255904
Store ##43 Fishers INVOICE CUSTOMER 66393
9820 Kincaid Drive REGISTER 19
Fishers, IN 46038 PAGE 2
PHONE: 317 594 =3101
Lanich, Terri 144818
FAX: 317 594 -3269 Tue May _29 11:24:59 2012
IILINE1 PRODUCT CODE: PLU J ITEM DESCRIPTION Unit Price... I Adjustments I Net Price Quantity.. Ext Price
SALES ASSOCIATE(s) >,,II
5 I 813020010481 �6006368'� UL624M81 14" C E:: 6.29,'' 0.00 6.`29 1 6.29
1 24M814WT -6F,B 14' CSE
14' WHITE CAT5P PATCH NONTAXABLE RESALE
CORD
UL624M814WT -6FB II
11 6 1 813020010795 1 59853741 UL724M825RD -5FB 25' CAT6 10.88 0.00 10.88 1 11 1 119.68
Ij 1 I UL724M825RD -5FB 25 CAT6
II 25' F RED CAT 6 PATCH CORD:iI NONTAXABLE RESALE I�
II
�1 UL724M825RD -5FB
II
11 7 1 813020010788 1 59853641 UL724M814RD -5FB 14' CAT6 6.88 0.00 6.88 2 13.76
Ij UL724M814RD -5FB 14' CAT6 1
1� 14' RED CAT 6 PATCH CORD: NONTAXABLE RESALE II
I
II UL724M814RD -5FB I II
1
1 8 1 813020010764 1 59853441 UL724M803RD -5FB 3' CAT 6 2.88 1 0.00 1 2.88 12 34.56 1
I UL724M803RD -5FB 3' CAT 6 1 I I 1 1 1 1
1� 3' RED CAT 6 PATCH CORD NONTAXABLE RESALE 11
ii A
UL724M803RD. -:5FB
9 813020010580 1'59799241 UL724M803WT -:6FB .3' CAT6 2.88 0.00 2.88 13 37.44
Ii UL724M803WT -6FB 3' CAT6 1
3' WHITE CAT 6 PATCH NONTAXABLE RESALE II
II CORD II
l K� Uli724'M803WT 6FB. II
I
10 715860014271 47117991 MC E07,00IBL 1 -FT CAT 5e.. I� 1.99 0.00. 1.99 1 1.99
MC E07 -001BL 1 -FT CAT 5e i 1
II CAT 5e BLUE CABLE. NONTAXABLE RESALE
-FOOT LONG I II
E07 -OOJBL I II
I
Continued on Next Page
II I I I II I II III II I II I i II II I II lil�� 1 111 II III IIIII I I IIII III
FRY'S ELECTRONICS Customer Copy INVOICE 4255904
Store ##43 Fishers INVOICE CUSTOMER 66393
9820 Kincaid Drive REGISTER 19
Fishers, IN 46038 PAGE 3
PHONE: (317 59.4 -3101 Lanich, Terri 144818
FAX (317) 59.4 -3269. Tue May 29 11:24:59 2012
CO
Invoice Subtotal: 478.40 ITEM
1J
Sales. Tax 7.000: D
0.0,0
g 2012
INVOICE TOTAL: 478.40
OPEN ACCOUNT: 478.40 PO Number: S13111
PO Date: 20120529 Type: R Please remit to:
Approved by: Francis, Sean Fry's Electronics
Accounts Receivable
X 600 E.Brokaw Road
KEVIN BUHMANN Signature San Jose, CA 95112
I hereby certify. that I hold a valid seller s'permit and the items
TOTAL: TENDER 4 4 0 listed on this invoice purchased::.from Fry'.s Electronic, Inc.
will be resold by me in the regular course of our business.
X
CHANGE: 0.00 ACCOUNTS PAYABLE Signature
We Value Your Feedback!
If you have an comments about yyour purchase todayy, please email us at the email address below:
frys43 @i frys;. com Store Mana i.
er: Mchelle,' Amarino
Please include your name, phone number, email address, Invoie
c#4255904,
the store #43 and a brief description of your comment and you will be contacted
within 24 hours.
Would you like to receive Fry's`:Weekly.Spe.cials emails Just wait http: /www.frys.com /signmeup
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Our store ads are now available online at www.Frys.com /ads.
FRY'S ELECTRONICS RETURN EXCHANGE PRIVILEGES
1. For a refund or exchange, most;products. may be returned within 30 days: of original purchase date: Some other products, such.as notebook computers;: netbooks, tablets and iPads, ,desktop
computers, monitors, NIP3 players and iPods, memory; microprocessors; motherboards, internal /external hard drives, ne two rk-a ttache& storage, CD and DVD recorders, camcorders, cameras,
projectors, postpaid wireless devices (monthly contract), arid air conditioners (IF UNUSED) may be returned within 15 days of original purchase date. 'See store »ianagement for specific
information.
2. Original receipt must accompany any product to be returned exchanged.
3. Product must be in original box with original accessories, packaging, manuals, and registration card in undamaged, clean, and brand -new condition.
4. Products returned within policy with the UPC Code missing from the box may only be accepted back as an exchange for the exact same item.
5. Product that is returned incomplete, damaged, or has been used if accepted will require a deduction. This deduction is final. Subsequent return of missing items will not reverse the deduction.
6. Product returned with serial number missing or tampered with will NOT BE ACCEPTED BACK FOR RETURN.
Continued on Next Page
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
356599
FRY'S ELECTRONICS Purchase Order No.
600 E BROKAW ROAD Terms
SAN JOSE, CA 95112 -1016 Due Date 6/4/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/4/2012 4255904 $478.40
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
GAX'-
Date Officer
VOUCHER 125042 WARRANT ALLOWED
356599 IN SUM OF
FRY'S ELECTRONICS
600 E BROKAW ROAD
SAN JOSE, CA 95112 -1016
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
4255904 01- 7202 -05 $478.40
Voucher Total $478.40
Cost distribution ledger classification if
claim paid under vehicle highway fund