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211363 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 178620 Page 1 of 1 ONE CIVIC SQUARE KUSTOM SIGNALS, INC CARMEL, INDIANA 46032 PO BOX 411882 CHECK AMOUNT: $586.00 ATTN.ACCTS REC CHECK NUMBER: 211363 KANSAS CITY MO 64141-1882 CHECK DATE: 7/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350000 26195 466218 586 . 00 RADAR REPAIRS Invoice Number 466218 Invoice II�II I� III�II I II ill KUSTOM SIGNALS, INC. Duplicate Copy I ent Invoice Date 07/19/12 A PUBLIC SAFETY EQUIPMENT COMPANY 1010 W. Chestnut/P.O. Box 947 KUSTOM SIGNALS, INC. Customer Number 16673 Chanute, KS 66720-0947 PO BOX 411882 Order Number 181347 SR (620)431-2700 Fax(620)431-2734 KANSAS CITY, MO 64141-1882 Customer PO 26195 SOLD TO Page 1 of 2 CARMEL POLICE DEPT SHIP TO POLICE DEPT HDQTRS CARMEL POLICE DEPT 3 CIVIC SQUARE POLICE DEPT HDQTRS CARMEL IN 46032 3 CIVIC SQUARE CARMEL IN 46032 Net Due Date O8 11.8112- Terms net 30 - Shipping - - 14 edQuar tity �e �z_, �VEW'fi'd Part Number DESCRIPTION/Serial #. Pirice =� Shipped ft '. x£ j t _{ Pace .. ..., .� ,:: .r, ,t' re C =" .s. ;a.,i �. - . ,.sac may: .. .a. ..€c ,.. �,.3. 1 200-2072-OOR PRO-LITE REPAIR LP02221 OW 3/2/09 PROLITE SELF TEST FAIL,SAYS HELP ON SCREEN BRIAN SMITH 317-571-2594 BMSMITH @CARMEL.IN.GOV ************ESTIMATE*********** 1 TRACKING DATE SUMMARY FOR THIS REPAIR UNIT RECEIVED:6/6/2012 PO REQUIRED:6/6/2012 Technician Start/End Date:6/11/12 Emailed estimate 6/12/12 Estimae approved 6/14/12 Technician Start/End Date:7/13/12 1 888-8888-46 CS PL2,3 FREIGHT GND 14.00 14.00 OUTBOUND SHIPPING 1 222-2320-01 FULL D.NOSTIC REPAIR PRO-LITE+ 200.00 200.00 Needs the controller card replaced. 1 222-2320-09 REPLACE CONTROLR PCB PRO-LITE+ 372.00 372.00 30 111-1111-11 OOW Laser Labor tenths of hr OOW Laser Labor tenths of hr I replaced the controller card and it seemed to help but was still not working right. I replaced the receiver, checked all the functions and sent the unit on road test. Pro-Lite LP02221 1 200-6333-00 RECEIVER-PCB ASSY(3-LEG APD) 1 200-6332-00 CONTROLLER BOARD-PCB ASSY REV 1 187-0259-00 ANTI-REFLECTION PAD 1 222-2312-01 CS ROAD TEST ASSESSMENT 5 111-1111-11 OOW Laser Labor tenths of hr OOW Laser Labor tenths of hr Road Test Labor REMIT TO: FEDERAL ID# 43-1757730 KUSTOM SIGNALS, INC. PO BOX 411882 KANSAS CITY, MO 64141-1882 Continued WWW.KUSTOMSIGNALS.COM Invoice Number 466218 Invoice Duplicate Copy KUSTOM SIGNALS INC. SIGNALS, Invoice Date 07/19/12 A PUBLIC SAFETY EQUIPMENT COMPANY REMIT TO: Customer Number 7/19/ 1010 W. Chestnut/P.O. Box 947 KUSTOM SIGNALS, INC. Chanute, KS 66720-0947 PO BOX 411882 Order Number 181347 SR (620)431-2700 Fax(620)431-2734 KANSAS CITY, MO 64141-1882 Customer PO 26195 SOLD TO Page 2 of 2 CARMEL POLICE DEPT SHIP TO POLICE DEPT HDQTRS CARMEL POLICE DEPT 3 CIVIC SQUARE POLICE DEPT HDQTRS CARMEL IN 46032 3 CIVIC SQUARE CARMEL IN 46032 =--Net-Due-Date081-18/-12- Terms-net 30 Shipping j---- - Quaitlty i�as.4v o.?.f ap "SR" rq�'xe � cA �Eztended Shipped PaNumber .. . ESCRIPTIQN/ Serlal# a 1 047-4411-00 WINDOW-EYE PROLITE 1 047-4410-00 WINDOW-HUD PROLITE 1 088-0308-00 GASKET-EYE WINDOW SEAL PROLITE 1 088-0305-00 COVER-RUBBER, PROLITE END CAP 1 088-0306-00 COVER-RUBBER, PROLITE HOUSING 10 111-1111-11 OOW Laser Labor tenths of hr OOW Laser Labor tenths of hr I put new skins on the unit and recertified it. Pro-Lite LP02221 7mm TOTAL Pulse Width Calibration 18.22 135.4 28.51 19.999741 REMIT TO: FEDERAL ID# 43-1757730 Subtotal 586.00 KUSTOM SIGNALS, INC. %Tax 0.00 PO BOX 411882 KANSAS CITY MO 64141-1882 III IIII IIIIII�II[IIIII IIII TOTAL 586.00 WWW.KUSTOMSIGNALS.COM INDIANA RETAIL TAX EXEMPT PAGE City ®f s l�s C°,�rme l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT �g 35-60000972 ONE 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 6V992 Kusftom Signals Carmol Pollco Dopaft mont VENDOR SHIP 3 CIVIC squm P.O. Doff 499 . TO Cufflol, IN 46M Kansas City, NO 6414MM2 (W)671 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT Account �p�UNpITp�OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 4N3-CO.0 0 i Each repair 9®radar $586.00 $586.00 Sub Total: $586.00 .Y f . o � Send Invoice To: i __.� 016991 Polieo Dop @rkmo t Attu:` ama@ Andsrzon 3 Civic Squm Carnol, IN 2= PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. C;j PAYMENT >� • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOB (GATED BALANCE IN •SHIP REPAID. THIS APPROP I T ON SUFFICIENTT ON SUFFICIENT�R THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. Ahlof®4 Police•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL No- 26195 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. - ALLOWED 20 IN THE SUM OF$ S 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