211221 07/31/2012 *f CITY OF CARMEL, INDIANA VENDOR: 00352419 Page 1 of 1
ONE CIVIC SQUARE BELL TECHLOGIX INC
CARMEL, INDIANA 46032 PO BOX 823342 CHECK AMOUNT: $430.18
PHILADELPHIA PA 19182-3342 CHECK NUMBER: 211221
CHECK DATE: 7/3112012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4463201 323095 430 . 18 HARDWARE
T y
PAGE: 1
Focused•Skilled•Reliable INVOICE: B I 323095
REMIT TO:
BELL TECHLOGIX INC INVOICE DATE: 0 7/2 3/12
P.O. BOX 823342 DUEDATE: 08/22/12
PHILADELPHIA PA 19182-3342 TERMS: Net 30
317-704-6000
866-782-2355 Net 30 Days
SHIP TO: BILL TO: 1201825
City of Carmel, Dept of Engine CITY OF CARMEL
1 Civic Square ONE CIVIC SQUARE
Carmel IN 46032 ATTN: ACCOUNTS PAYABLE
CARMEL IN 46032
USA
ORDER: 696484
ORDER DATE: 05/22/12
CUSTOMER P.O.: 2 6 5 3 7
CARRIER:
FREiGHT TERMS:
METHOD:
TRANSPORTATION ID:
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: United States Dollars
®
QUANTITY NET AMO
DESCRIPTION! j
City or Carme Dept or Engineering
Terry Crockett
Cust PO Num: 26537
Contact name: Terry Crockett
Phone: 3175712567x
Email : tcrockett @carmel . in.gov
BELL SO 696484 - 20097246
3 UC283E 1 EA 362 . 18
4YR UPG WARR ONSITE NBD WITH 362 . 18 EA
OFFSITE ACCIDENTAL DAMAGE PROT
6 UOJ12E 2 EA 68 . 00
ELECTRONIC HP CARE PACK NBD 34 . 00 EA
****************************************
PAST DUE ACCOUNTS CARRY INTEREST AT THE
LESSER OF 1 . 5o PER MONTH OR THE
MAXIMUM LEGAL RATE IN THE JURISDICTION
IN WHICH THE CUSTOMER'S PRINCIPAL PLACE
OF BUSINESS IS LOCATED
****************************************
ALL DELIVERY TERMS ARE F.O.B. ORIGIN
****************************************
TO REQUEST A STATEMENT OF ACCOUNT PLEASE
CONTACT 866-782-2355 EXT 56817
****************************************
FEDERAL TAX ID# 26-3683994
****************************************
FOR SERVICE CALL 1-800-999-9813
FREIGHT CHARGE: 0 . 00
GROSS AMOUNT: 430 . 18
INVOICE DISCOUNT: 0 . 00
NET AMOUNT: 430 . 18
TAX AMOUNT: 0 . 00
DOWN PAYMENT: 0 . 00
NET AMOUNT DUE: 430 . 18
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
Bell Techlogix Purchase Order No.
POB 823342 Terms
Philadelphia, PA 19182-3342 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
7/23/2012 323095 Workstation for Amanda Foley $ 430.18
Total $ 430.18
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 WARRANT NO.
Bell Techlogix ALLOWED 20
POB 823342 IN SUM OF $
Philadelphia, PA 19182-3342
$ 430.18
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 323095 2200-4463201 430.18 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
7/30/2012
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund