HomeMy WebLinkAbout220339 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 357770 Page 1 of 1
j. ONE CIVIC SQUARE SENSORY TECHNOLOGIES
CARMEL, INDIANA 46032 6951 CORPORATE CIRCLE CHECK AMOUNT: $625.00
INDIANAPOLIS IN 46278 CHECK NUMBER: 220339
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4235000 20003 30734 625 . 00 LABOR REPAIR SPEAKERS
INVOICE: 30734 Invoice Date-.
C 05/14/2013
Project Number 34068
For
Client#:CO2197
Brookshire Golf Club
A MAM(EY'S V"OH) (0i'OPANY
Sensory Technologies BiAmp repair Customer P.O.: 20003
6951 Corporate Circle
Indianapolis, IN 46278
317-347-5252 Fx 317-347-5262
Bill to: Project Site:
Brookshire Golf Club Brookshire Golf Club
Todd Luckowski Todd Luckowski
12120 Brookshire Pk\A'y 12120 Brookshire Pkwy
Carmel, IN 46033 Carmel IN 46033
Tel: 317-846-7431 J
---Tern-fs:- Net 15 Days Invoice Date. 05/14/2013
Authorized Agent: Bob Higgins
Qty Mfr-Part No. Description Unit Price Extended
CAS-07409-KOK0
BiAmp Repair
1.5 Sensory Tech.-.SSL System Service Labor 125.00 187.50
Removal of BiArrip for repair
1
3.5 Sensory Tech.-SSL System Service Labor 125.00 437.50
Reinstalla"don of 13AMp and rerouting of CAT5 to hardwire Nexia
Balance Due: $ 625.00
Tax Mi 20-4438772 71
0511512013 Sensory Technologies Project: 34068 INVOICE: 30734 Page 1 of 1
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NDIANA RETAIL TAX EXEMPT PAGE City o C CERTIFICATE NO.003120155 002 0 1i PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
0 r�
I.Gi hj., '�`. .•'.5 P --
VENDOR SHIP�S / I(?Gr? /'fa--, C��/a2C'rl�
s TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT 30 Dq'ys
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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ty 0 f
,nd Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
6 U PAYMENT
• 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
IP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
).D.SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
RCHASE ORDER NUMBER MUST APPEAR ON ALL
°PING LABELS.
ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
WMENT CONTROL N0. A. • • COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
e
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
` bill(s) is (are) true and correct and that the K
materials or services itemized thereon for
which charge is made were ordered and
received
------------ -- - -------- --
20
— ..-.--.........................
... ----- �_..--....--.........-
Signature
-- —--- ---------------------- --.-.................................
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))
05/14/13 30734 Repair Speakers $625.00
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sensory Technologies
Accounts Payable IN SUM OF $
6951 Corporate Circle
Indianapolis, IN 46278
$625.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
20003 I 30734 I 42-350.00 I $625.00 1 hereby certify that the attached invoice(s), or
bills is are true and correct and that the . k
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, May 20, 2013
yam;. a
Director, Brookshire off ClubY . n
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund