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212586 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 356599 Page 1 of 1 ONE CIVIC SQUARE FRY'S ELECTRONICS r CARMEL, INDIANA 46032 CHECK AMOUNT: $384.91 . 600 EAST BROKAW ROAD SAN JOSE CA 95112-1016 CHECK NUMBER: 212586 CHECK DATE: 9/12/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 604 5023990 4363979 384 . 91 OTHER EXPENSES - Ili i i ii i II Illiiillllliiillllllill Illi III IIII 111111 III FRY' S ELECTRONICS ** Customer` COPY ** INVOICE # : 4363979 Store #43 - Fishers INVOICE CUSTOMER # : 66393 9820 Kincaid Drive REGISTER # : 22 Fishers, IN 4603:8 PAGE # : ' 1 PHONE: (317) 594-3101 Villafuerte,,,..:.Arianna 15.2963 FAX: (317) 594-3269 . .Mon:;Aug :20 12 : 33 : 00. 2012 CUSTOMER BILLING INFORMATION CUSTOMER, SHI'PPING 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 0003120155002 IILINEI PRODUCT CODE I 'PLU I ITEM DESCRIPTION I Unit Price I Adjustments I Net Price I Quantity) Ext Price I SALES ASSOCIATE(s) 1 1 012502627272 68941361 Brother MFC-J6910dw 1 249.00 0.00 1 249.00 1 1 1 249.00 I Sullivan, Kevin II I Brother MFC-J6910dw t 1 II I ]]"x17" Inkjet Printer 1 NONTAXABLE - RESALE 1 11 II I Duplex, Wireless II II I MFC-J6910dw V I II II � II 11 2 1 833250007310 59592041 PPA 4P USB network HUB I 19.99 I 0.00 I 19.99 1 1 I 9.99 I ullivan, Kevin 11 I PPA 4P USB network HUB I connect up to 4pc's 1 NONTAXABLE - RESALE I I manual,push toggle II II I .all'usb devices II II 3 1 722868654088 1 60593381 Belkin USB Gold 16' 1 6.99 1 0.00 I 6.99 1 .9 a Kevin II I' Belkin USB Gold 16' II I upe!10 480mp� O I NONTAXABLE - RESALE F3U133gl6GLD-AP I I1 4 1 012502627333 1 70166311 Brother LC75Y Yellow Ink I 14.99 I 0.0.0 1 99 (♦r 14.99 .I. Sullivan, Kevin II I` Brother LC75Y Yellow Ink I 1 High Yield Yellow Ink I NONTAXABLE - RESALE � II I LC75Y - Continued on Next Page - - iiiiliillllllllllllililllllllllllllllllllllllllllllllll FRY' S ELECTRONICS ** Customer Copy ** INVOICE # : 4363979 Store #43 - Fishers INVOICE CUSTOMER # : 66393 9820 Kincaid Drive REGISTER # : 22 Fishers, IN 46038 PAGE ## : 2 :, PHONE: (317) 59,4'-3101 Villafuerte, Arianna 152963 FAX: H17) 59:4-3269 Mon Aug 20 12 : 33 : 00 2012 4INEi.;,,PRODUCT CODE i PLU I',. ITEM DESCRIPTION Unit Price !' Adjustments I Net Price Quantity,, Ext;;Price SALES ASSOCIATE(s)' �� 5 1 012502627319 1 70166111 Brother LC75C Cyan Ink 1 14.99` 0.00 1 14.99 1 1 1 14.99 1 Sullivan, Kevin:, Brother LC75C�Cyan Ink II High Yield XL Cyan Ink NONTAXABLE - RESALE �I LC75C 6 012502627326 7016621 Brother LC75M Mgenta Ink 14.99 0.00 14.99 1 1 14.99 1 Sullivan, Kevin Brother LC75M Mgenta Ink i i ' ' ' .High Yield Magenta Ink NONTAXABLE - RESALE II I LC75M v �� �) 7 012502627302 7016591 Brother LC75BK Black Ink 24.99 0.00 1 24.99 2 1 49.98 i Sullivan, Kevin LC75BK Black Ink I� High_::.Yield Black I`k NONTAXABLE - RESALE �I LC75BK Continued on Next Page - III I I II I II IIIIIIIIIIIIIIillll�liii���i� E 11111111111 FRY' S ELECTRONICS ** Customer Copy ** INVOICE # : 4363979 Store #43 - Fishers INVOICE CUSTOMER # : 66393 9820 Kincaid Drive REGISTER # : 22 Fishers, IN 4603.8 PAGE ## : 3 .PHONE: 3P 59;4:=3101 Villafuerte, Arianna 152963 FAX: (317) 594:-3269 Mon Aug 20 12 : 33 : 00 2012 ITEM COUNT 10 Invoice Subtotal : 384 . 91 Sales Tax @, 7 . 0000 : 0 . 00 INVOICE TOTAL: 384 . 91 OPEN ACCOUNT: 384 . 91 PO Number: 60412 PO Date: 20130501 Type: B Please remit to: Approved by: Fannin, Melody L. Fry's Electronics Accounts Receivable X 600 E.Brokaw Road KEN RHODES Signature San Jose,CA 95112 I hereby certify that I hold a valid seller's permit and the items TOTAL TENDER: 384 . 9:1 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 any comments or concerns about your purchase today, please call us durinq store :hours at the phone number below: (317) 594-3101 or email us at the email address below: frys43 @i . frys . com - Store Manager: Michelle Amarino Please include your name, phone number, email address, Invoice #4363979, 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 Specials emails? Just visit http: //www. frys . com/signmeup to subscribe. 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, MP3 players and iPods, memory, microprocessors, motherboards, internal/external hard drives, network-attached storage, CD and DVD recorders, camcorders,cameras, projectors, postpaid wireless devices(monthly contract),and air conditioners(IF UNUSED)may be returned within 15 days of original purchase date. See store managernent for specific - Continued on Next Page - III III I 1111RII III FRY' S ELECTRONICS ** Customer Copy ** INVOICE # : 4363979 Store #43 - Fishers INVOICE CUSTOMER # : 66393 9820 Kincaid Drive REGISTER # : 22 Fishers, IN 46038 PAGE # : 4 PHONE: (317) 594'-3,101 Villafuerte, Arianna 152,963 FAX: (317) 594-3269 Mon Aug .20 12 : 33 : 00. 2012 .::. information. 2. Original receipt must accompany any product to be returned/exchanged. 3. Product must be in original boil 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. 7. If the product returned has any data or information stored on a memory or storage device, Fry's shall not be responsible for the transfer of such data or information to another product given to the customer as an exchange, or for the loss of any data or information or to maintain the confidentiality of any data or information still residing on the returned product. 8. Computer software, video games, audio CDs, and DVD videos are returnable only if unopened. 9. Defective computer software, video games, audio CDs, DVD videos,.and pre-recorded videos will be exchanged for the exact same item only. 10. Unless defective, a 15% restocking fee will be charged:for all returned opened GPS/Navigation units, network-attached storage, projectors, cameras, camcorders, notebooks, netbooks, tablets and iPads, desktops, monitors. MP3 players and iPods, and Apple:.Vs.. 11. Physical damage to motherboards or remote control aircraft being returned voids any return/exchange privileges. 12. If accepted for return, used air conditioners will require a deduction and only a gift certificate will be issued; no refunds. Defective air conditioners will be exchanged for the exact same item. 13. Product using accessories such as laser toner or ink cartridge toner, media, batteries, film, etc. must be returned with the accessory in factory-sealed condition or will require a deduction for a replacement. 14. Prepaid wireless phones are returnable ONLY if unopened. If defective, the item will be exchanged for the exact same item only. 15. Prepaid airtime cards and prepaid music cards are nonreturnable. 16. Postpaid wireless devices(monthly contract)have..a ]Sday Fry's return policy: Any exchanges or returns beyond 15 days must be fulfilled directly through the wireless carrier. 17. Unless defective, a 15% restocking fee will be charged for all returned opened unlocked wireless phones. 18. Replacement lamps for projectors/televisions are.not returnable if the filament shows wear or the bulb is broken. 19. Refunds will be issued as follows: (1)Check purchases'by check(2)Credit card purchases by credit issued to the credit card used in the original purchase transaction(3)Debit card purchases by credit issued to the debit card used in the original purchase transaction(4)Cash purchases by cash, unless the refund is over$500, which will then be refunded by a check mailed from Fry's Home Office. 20. Refund checks are mailed the 10th day from date merchandise is returned. 21. Service, delivery, and installation charges are non-refundable once performed. 22. Special order items and cut cable/wire are non-returnable. 8.219-P - Last Page: 4 of 4 - VOUCHER # 122092 WARRANT # ALLOWED 356599 IN SUM OF $ FRY'S ELECTRONICS 600 East Brokaw Road San Jose, CA 95112 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 436397 02-2308-00 384.91 Depreciation Voucher Total $384.91 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 356599 FRY'S ELECTRONICS Purchase Order No. 600 East Brokaw Road Terms San Jose, CA 95112 Due Date 9/6/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/6/2012 4363979 $384.91 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 Date Offi r