211687 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 366184 Page 1 of 1
ONE CIVIC SQUARE COMMUNICATIONS SPECIALTIES INC CHECK AMOUNT: $330.00
CARMEL, INDIANA 46032 55 CABOT COURT
HAUPPAUGENY 11788 CHECK NUMBER: 211687
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 00053136 330 . 00 OTHER CONT SERVICES
"='mL1n1a% ons INVOICE
51S" d'a11lG^.°.., Inc. Invoice# Invoice Date. Page
55 Cabot Court,Hauppauge,NY 11788 Phone:(631)273-0404 Fax:(631)273-1638 00053136 7/25/2012 1
Bill To: Ship To:
CARMEL COMMUNICATION CENTER CARMEL COMMUNICATION CENTER
31 1STAVE NW 31 1STAVE NW
CARMEL, IN 46032 CARMEL, IN 46032
USA USA
CUSTOMER PO NUMBER - TERMS SHIP VIA' F.O.B.POINT
PO#27700/RMA#11383 NET 30 * UPS GROUND ORIGIN
'ORDERED BY SALES REPRESENTATIVE ORDER DATE' OUR ORDER# CUSTOMER ID f'
GREG BEDELL PAUL SEIDEN 7/17/2012 20051138 15983
P QUANTITY' •` DESCRIPTION
LN 'DL ORDERED'` SHIPPED PART IDENTIFIER COMMENTS UNIT ,UNIT PRICE EXTENDED,PRICE-
01 01 1.00 1.00 RP9115 REPAIR OF 2240 EA 300.0000 $ 300.00
DEUCE SDQ
1z1561270363473346
OCA20050890
REPLACED 5 VOLT POWER
SUPPLY.
WGT: 0.00 EXT WGT: 0.00 Oz
LINE ITEM TOTALS DISCOUNT' SUBTOTAL—, 'FREIGHT TAXABLE AMOUNT ,TAX ._ MISC INVOICE TOTAL
300.00 0.00 300.00 30.00 0.00 0.00 0.00$ 330.00
*Note: No discounts may be taken on credit card payments
VOUCHER NO. WARRANT NO.
ALLOWED 20
Communications Specialties, Inc.
IN SUM OF $
55 Cabot Court
Hauppauge, NY 11788
$330.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1115 00053136 43-509.00 $330.00 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
Tuesday, August 07, 2012
Director
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))
07/25/12 00053136 $330.00
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