212107 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 364558 Page 1 of 1
0 ONE CIVIC SQUARE A M K SERVICES, LLC CHECK AMOUNT: $2,330.00
CARMEL, INDIANA 46032 9291 CROUSE WILLISON RD
o�`o JOHNSTOWN OH 43031 CHECK NUMBER: 212107
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 27698 2 , 280 . 00 RADIO OPTIMIZATION
1115 4350900 962 50 . 00 OTHER CONT SERVICES
INVOICE
AMK ServiceS,L_C
Invoice#
962
15555 Stony Creek Way
Noblesville, IN 46060
(317) 774-1867
(317) 774-1869(f)
SOLD Carmel Communications Center SHIP Carmel Communications Center
TO 31 1 st Avenue Northwest TO 31 1 st Avenue Northwest
Carmel, IN 46032 Carmel, IN 46032
• . •
CARCOMMC I 1 8/14/2012 1 Net 30 8/16/2012 1
B19/MTV004931A 10 Cover,Volume Knob,Plastic 5.00 50.00
Sales Tax 0.00
TOTAL AMOUNT 50.00
y
Please Remit To:
AMK Services LLC
9291 Crouse Willison Road
Johnstown,OH 43031
This account may be subject to delinquency fee charges of 1 '1/2% per month(18%annum)of the unpaid balance,when the invoice becomes 30 days past due.
INVOICE
AMK Services,1,,_c
Invoice#
961
15555 Stony Creek Way
Noblesville, IN 46060
(317) 774-1867
(317) 774-1869(0
SOLD Carmel Communications Center SHIP Carmel Communications Center
TO 31 1 st Avenue Northwest TO 31 1 st Avenue Northwest
Carmel, IN 46032 Carmel, IN 46032
CARCOMMC 1 27698 8/8/2012 Net 30 8/16/2012 1
OPTIMIZATION 76 Radio Optimization 30.00 2,280.00
Sales Tax 0.00
TOTAL AMOUNT 2,280.00
J:
Please Remit To:
AMK Services LLC
9291 Crouse Willison Road
Johnstown,OH 43031
This account may be subject to delinquency fee charges of 1 'h% per month(18%annum)of the unpaid balance,when the invoice becomes 30 days past due.
f� INDIANA RETAIL TAX EXEMPT PAGE
City o Carmel CERTIFICATE NO.003120155 002 0 li PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 27698
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
3/2012012
AMK Services, LLC Carmel Communication Center-
VENDOR SHIP 31 1st Ave NW
TO
9291 Crouse Willison Rd Carmel, IN 46032
Johnstown,OBI 43031 (317)871-2W6
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.509.00
76 Each Radio Optimization $30.00 $2,280.00
Sub Too: $2,280.00
nf,
00
Cam °
Send Invoice To:
Carmel Communication Center
31 1 sit Ave NW
_ Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Communications \ PAYMENT 2 ER CANNOT BE APPROVED FOR PAYMENT UN E2StT�o.00
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED-BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE~_ I�irsr
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 2 7 6 9 8 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20 °
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
C.)
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
AMK Services, LLC
IN SUM OF $
9291 Crouse Willison Rd
Johnstown, OH 43031
$2,330.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
27698 961 43-509.00 $2,280.00 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1115 962 43-509.00 $50.011
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, August 24, 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))
08/14/12 962 $50.00
08/16/12 961 $2,280.00
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
20
Clerk-Treasurer