220572 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 366515 Page 1 of 1
ONE CIVIC SQUARE CXTEC
CARMEL, INDIANA 46032 PO BOX 5211 CHECK AMOUNT: $1,097.69
DEPT 116003 CHECK NUMBER: 220572
BINGHAMTON NY 13902-5211
CHECK DATE: 614/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4463201 CI5272 1, 097 . 69 HARDWARE
Remit To
CXtec INVOICE
c)(t, �® PO Box 5211 -Dept 116003 Number CI5272
Binghamton,NY 13902-5211
Date 09-May-13
IS09001:2008fertfied
CXlec is a DBA of Cablexpress Corporation Purchase Order
Offices:315-476-3000 SHIP TO: Apply Credit on Acct/PO#26791
Sales Fax:315-455-1800 City of Carmel
Tax ID: 16-1105670 3 Civic Square Customer Number Site Id
Carmel,IN 46032 192337 659575
BILL TO:
Terry Crockett
City of Carmel
3 Civic Square
Carmel, IN 46032
TERMS DUE-DATE SALESPERSON CUSTOMER CONTACT
30 Days 08-Jun-13 Kasey Sheehan Terry Crockett
SHIP DATE FREIGHT TERM FOB
09-May-13 Bill Customer's Account ORIGIN
ITEM PART NUMBER/DESCRIPTION QUANTITY UNIT PRICE EXTENSION
NO. ORDERED SHIPPED
1 253978 equal2new 3COM 24 PORT 450OG POWER SWITCH 1 1 1,115.00 1,115.00
2 FREIGHT SHIPPING/HANDLING CHARGE-TOTAL FOR ORDER 1 1 22.69 22.69
3 Credit Credit on Account -1 -1 40.00 -40.00
SUBTOTAL 1,097.69
TOTAL 1,097.69
All prices are in U.S.dollars.
I
f� INDIANA RETAIL TAX EXEMPT PAGE
C "ty ® I' Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 26791
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
5/9/2013 Network Switch
Cutec Carmel Communications
VENDOR 5404 South Bay Road SHIP Terry Crockett
P.O. Box 4799 TO 3 Civic Square
Syracuse, NY 13221-4799 Carmel, IN 46032
317 571-2567
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44-632.01
1 Each shipping $22.69 $22.69
1 Each 3COM 24 port 450OG Power switch 3CR17771-91-US $1,075.00 $1,075.00
Sub Total: $1,097.69
Send Invoice To: Quote#1073 7Sj � t
City of.Carmel
Terry Crockett
3 Civic Square
Carmel, IN 46032- '
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT� + =AMOUNT
Carmel IS Dept. PAYMENT 51,097.69,
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. 'y
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APP OPRP TION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. � � y
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. 'a
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ITLE Director
' '
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER 4'
DOCUMENT CONTROL NO. 2 6 7 9 1 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. _WARRANT
ALLOWED 20
IN THE SUM OF$
f .
ON ACCOUNT OF APPROPRIATION FOR
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
materials or services itemized thereon for
which charge is made were ordered and
received except
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))
05/09/13 I C15272 I I $1,097.69
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
Cxtec
5404 South Bay Road IN SUM OF $
P.O. Box 4799
Syracuse, NY 13221-4799
$1,097.69
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26791 C15272
44-632.01 I $1,097.69 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
Wednesday, May 29, 2013
Z/ Director , IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund