218542 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 365798 Page 1 of 1
0 ONE CIVIC SQUARE LONG RANGE SYSTEMS CHECK AMOUNT: $15.00
CARMEL, INDIANA 46032 4550 EXCEL PARKWAY SUITE 200
;,r N ADDISONTX 75001 CHECK NUMBER: 218542
CHECK DATE: 3/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 IN298908 15 . 00 GENERAL PROGRAM SUPPL
.� Please Remit Payment To: INVOICE
Long Range Systems, LLC IN298908
4550 Excel Parkway,Suite 200 Date 3/4/2013
Addison,TX 75001 Acct. No. CUST96370
--__ 800.437.4996 • www.pager.net Terms Net 15
Due Date 3/19/2013
�j�. PO# WO EST109969
Sales Rep David Blake
Partial Fulfillment No
MAR 0 8 2013 1 Sales Type Work Order
Created From Sales Order#S0301354
I Ship Via FedEx Ground Service
Tracking # 041593350043966
Carmel Clay Parks & Recreation Critical No
1411 E. 116th Street Install Address
Administrative Offices Ordered By Lindsay Leber
Carmel IN 46032 Special Emailed RA and return
Instructions details>
United States Ileber @carmelclayparks.com
"Please apply PO# MC003858
Promo Code
Ship Hold No
Item Quantity Description Rate SIN Amount Item Notes
RX-SPG4NPR 2 Service Pager Guest Program NP Refurbished 0.00 0.00 30, 24
RX-SPG4NPR 1 Service Pager Guest Program NP Refurbished 15.00 15.00 5
FedEx Ground Service 1 0.00 0.00
Total 15.00
Amount Due $15.00
Ship To
ATTN Lindsay Leber
Carmel Clay Parks & Recreation
1235 Central Park Dr IS CLOS
Carmel IN 46032 i 0: - meat to
m�t
United States I p ease re `pay`i a Suite 20Q
=t<S�O Excel Par '
TX X5001
Addison, .. .
A 15%restocking fee and shipping and handling fee will be charged should any or all of the ordered product be returned to the manufacturer for any reason
within 15 days of shipping.Radio headsets may not be returned.International Customers-All products are shipped FOB Dallas,TX.We are not responsible for
products detained by Customs in your country.The purchaser agrees to payment in full per the term=_of this order and acknowledges responsibility for all .
reasonable costs and collection including but not limited to reasonable legal fees.I am a duly authorized officer of the ordering company and have the authority
to make this purchase and all commitments and promises contained herein.This order acknowledgement form is acceptable and binding unless we receive
written notification to the contrary prior to shipment. LRS standard terms and conditions apply.
Purchase /.,�Zj r {k_
Description 1/� i'�
P.O.#1115 m-- $$ PorF
O.L.# (0%.-L41- 4'1SgQ39
Budaet
Line Descr
Purchaser L.Ixl�er Date
Approval Date
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
365798 Long Range Systems, LLC Terms
4550 Excel Parkway, Suite 200
Addison, TX 75001
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
314113 IN298908 Kidzone pager repair $ 15.00
Total $ 15.00
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
120_
Clerk-Treasurer
Voucher No. Warrant No.
365798 Long Range Systems, LLC Allowed 20
4550 Excel Parkway, Suite 200
Addison, TX 75001
In Sum of$
$ 15.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#MTLE AMOUNT Board Members
Dept#
1096-41 IN298908 4239039 $ 15.00 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
21-Mar 2013
i
ISignature
$ 15.00 Accounts Payable Coordinator
Cost distribution ledger classification if _ Title
claim paid motor vehicle highway fund