216038 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 356599 Page 1 of 1
ONE CIVIC SQUARE FRY'S ELECTRONICS
CARMEL, INDIANA 46032 600 EAST BROKAW ROAD CHECK AMOUNT: $365.20
SAN JOSE CA 95112-1016 CHECK NUMBER: 216038
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 4502710 365 . 20 1050 . 06
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FRY' S ELECTRONICS ** Customer Copy ** INVOICE # : 4502710
Store 443 - Fishers INVOICE CUSTOMER # : 66393
9820 ::incaid Drive REGISTER # : 18
Fishers, IN 46038 PAGE # : i
PHONE: (317) 594-3101 - Reeves, ay 158586
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FAX: 317 ' '594-3269 Tue ;,Dec , 04 .13 : 16 : 5,5 2012
CUSTOMER BILLING INFORMATION CUSTOMER SHIPPING 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 FLU I ITEM DESCRIPTION I Unit Price I Adjustments I Net Price I Quantity) Ext Price I SALES ASSOCIATE(s) 11
I' i i Cr i i i iI
II 1 1 649532012008 1 45204571 CYBERPOWER 1200VA W/AVR 1 129.99`,1 0.00 1 129.99 1 1 1 129.99 I Kelly, Stephen J. II
1' CYBERPOWER 1200VA W/AVR
II I 1 NONTAXABLE - RESALE 1 11
II I A II
II I CP1200AVR I II
11 2 1 649532601035 1 63370111 CyberPower CP625HG UPS 1 49.99 I 1',-, 0.00 1 49.99 1 3 1 149.97 I Kelly, Stephen J. 11
Ii CyberPower CP625HG UPS —— -- l
II 1625VA, 890 Joules 1 NONTAXABLE - RESALE I II
11 1 8 outlets, USB Port(s) II
1I I CP625HG
II
11 3 1 734646968232 1 60453781 Lexmark 100XL Twin Pk 1 53.49 1 �t40.00 1 53.49 1 1 I 53.49 I Kelly, Stephen J. II
11 Lexmark 100XL Twin Pk ,� 1
II Black Ink NONTAXABLE - RESALE „ I II
II I '. II
II I LEX-14NO683
11 4 1 025215716478 1 64811021 M360 8GB USE Flash 1 5.99 1 0.00, 1 5.99 1 2 1
(� Maxell 360 8GB USB Flash
1 8GB USB Flash Drive 1 NONTAXABLE - RESALE I 11
1 Swivel Design Date.
i 503202
PO ACCT #: 0 zo S2 �o l� Z
- Continued on Next Page -
Use: �/1-,t 72,1 La
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FRY' S ELECTRONICS ** Customer Copy ** INVOICE # : 4502710
Store ##43 - Fishers INVOICE CUSTOMER # : 66393
9820 Kincaid Drive REGISTER # : 18
Fishers, IN 46038 PAGE # : 2
PHONE: (317) 594-3101 Reeves, Jay 158586
FAX (317) 594-3269 Tue Dec 04 13 : 16 : 55 2012
11LINE1 PRODUCT CODE I PLU 1 ITEM DESCRIPTION Unit Price I' Adjustments Net Price I Quantity[ Ext Price SALES ASSOCIATE(s) II
II 5 1 740617182491 1 67869851 Kingston DTIG3/16GBZ 1 8.99 1 0.00 1 8.99 1 .2 1 17.98 I Kelly, Stephen J.
1 Kingston DTIG3/16GBZ ' I
II 1 16GB USB Flash Drive NONTAXABLE - RESALE I II
II I � II
KR-U3216-2MQ II
1 II
11 6 1 077711755406 1 36976751 Avery Sheet'Protector 10 1 1.79 0.00 1.79 1 1 1 1.79 Kelly, Stephen J. II
1 Avery Sheet Protector 10 1 1 1 iI
II 1 Standard Clear 10 Pack 1 NONTAXABLE - RESALE 1 II
II 1 #PV-10P 1 II
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ITEM COUNT: 10
Invoice Subtotal : 365 . 20
Sales Tax @ 7 . 000% : 0 . 00
INVOICE TOTAL: 365 . 20
OPEN ACCOUNT: 365 . 20 Po Number: 60412
PO Date: 20130501 Type: B Please remit to:
Approved by: Grey, Marcy 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: 36 -9 . 20 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
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VOUCHER # 123184 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
4502710 07-1050-06 $365.20
Voucher otal $365.20
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 12/28/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/28/201; 4502710 $365.20
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 Officer