219799 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 362168 Page 1 of 1
ONE CIVIC SQUARE L-3 COMMUNICATION MOBILE-VISION'&ECK AMOUNT: $735.80
o CARMEL,INDIANA 46032 PO BOX 5580
y row`o GENERAL POST OFFICE CHECK NUMBER: 219799
NEW YORK NY 10887-5580
CHECK DATE: 517/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 25675 197681—IN 735 . 80 4 WIRELESS ACCESS POI
' Remit Payment to:!) L-3 Communications Mobile-Vision,Inc.
communications P.O.Box 5580
General Post Office
Mobile-Vision, Inc. New York,NY 10087-5580 INVOICE
90 FANNY RD.
BOONTON, NJ 07005
PH.973-263-1090 0197681-I N
FAX 973-257-3024 INVOICE NUMBER:
INVOICE DATE: 4/11/2013
PAGE: 1
Carmel Police Department
TOLD 3 Civic Square TO: Carmel Police Department
Attn:Todd Luckoski 3 Civic Square
Carmel,IN 46032 Attn:Todd Luckoski
Confirm To:Teresa Anderson Carmel, IN 46032
TRACKING NUMBER: 1zx5x9890364728721;
F.O.B. BOONTON,NJ CUST.I.D.: INCARME
SHIP VIA: UPS GROUND P.O.NUMBER: 25675
SHIP DATE: 4/11/2013 P.O.DATE: 3/26/2013
DUE DATE: 5/11/2013 OUR ORDER NO.: 0115544
TERMS: Net 30 Days SALES PERSON: LMB
•'� -■
MVD-802.11A-APC 4.00 4.00 EACH 179.95 719.80 TX
802.11A-Wireless Access Point Conversion Assy Whse: 000
Note:MVD-802.1 1 A-APC
• 719.80
PLEASE REMIT PAYMENT TO L-3 COM MOBILE VISION, INC 0.00
PO BOX 5580 NEW YORK NY 10087-5580 16.00 Shipping/Hndlg
• 735.80
These commodities are controlled under the Export Administration Regulations(EAR)and may not be expo e
without proper authorization by the US Dept of Commerce.
City INDIANA RETAIL TAX EXEMPT PAGE
®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 X75
ONE CIVIC.SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
sU RC
L•3 Communications Mobile-Vision, Inc. Carmel Police Department
VENDOR TOHIP 3 CIVIC squam
P.O.'Box 5w Carmel, IN 462
Now York, NY iON7.fM (317)571-2M
CONFIRMATION I BLANKET I CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.6m.00
4_Each Wireless Access Paint Conversion Assy N4VD-802.114-APC $179.95 $719.80
1 Each shipping charges $28.00 $28.00
sub`rotal: $7450
sue` ,', •.� � .��ykk?j ..aP —"•,
-4
Send Invoice To:
Carm@I Pollco Daparkmant
Attn: Temsa Andorson
3 Civic Square
Carmel, IN 46032. PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. 4� "'� PAYMENT $747.80
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
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 APPROPRIATIONISUF.F,ICIENT TO PAY FOR THE ABOVE ORDER.
• . ` -
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL //chlef SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO.
`' A.P. COPY-SIGN AND RETURN TO CLERK'S OFFICE
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))
04/11/13 197681-IN wireless conversion assembly $735.80
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
L-3 Communications Mobile-Vision, Inc.
IN SUM OF $
P.O. Box 5580
New York, NY 10087-5580
$735.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25675 I 197681-IN I 43-500.00 I $735.80 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
Friday, April 26, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund