213598 10/09/2012 f CITY OF CARMEL, INDIANA VENDOR: 366605 Page 1 of 1
0 ONE CIVIC SQUARE OHIO CALIBRATION LABORATORIES
CARMEL, INDIANA 46032 6663 HUNTLEY ROAD SUITE E CHECK AMOUNT: $72.00
COLUMBUS OH 43229-1038 CHECK NUMBER: 213598
CHECK DATE: 10/912012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 12861 72 . 00 EQUIPMENT REPAIRS & M
Ohio Calibration Laboratories (614) 840-8500 voice
6663 Huntley Road Suite E (614) 840-9360 fax
Columbus Ohio 43229-1038 (E I N 13-4224-534)
Invoice - for Professional Services
Attention: Accounts Payable
Carmel (IN) Police Dept.
3 Civic Square
Carmel, IN 46032
-Invoice-Date: -9/24/2012-- ---- Purchase Order-#:- -
Invoice #: 12861 Identifier:
Device type: Lidar Approved By: Brian Smith
Make: Kustom Signals
Model: Pro Lite
System serial #: LP03014
Complaint: Annual certification
Work Done:"'C'ertified the instrument to meet or exceed the manufacturer's published operational
specifications.
Parts Used: NONE
Labor Hours: Attention: We are now accepting EFT
(Electronic Funds Transfer) payments. You
Labor Cost: can now send an electronic deposit to our
Parts Cost: $0.00 bank account. Please call us for account
Certification Cost: $60.00 information.
Shipping/Ins::. $12.00 ._
Miscellaneous: $0.00 Total Charges:- $72.00
Terms: Net thirty days from date of invoice
1.5%per month late fee if past due.
Thank you for your business.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ohio Calibration Laboratories
IN SUM OF $
6663 Huntley Road, Suite E
Columbus, OH 43229-1038
$72.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1110 I 12861 I 43-500.00 I $72.00 1 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, October 02, 2012
=� Chief of Police
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))
09/24/12 12861 laser radar calibration $72.00
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