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HomeMy WebLinkAbout221674 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 354053 Page 1 of 1 ONE CIVIC SQUARE PROVANTAGE CORP s'. o CARMEL, INDIANA 46032 ATTN'JOANNE NEWMAN CHECK AMOUNT: $514.50 o�ao 7249 WHIPPLE AVE NW CHECK NUMBER: 221674 NORTH CANTON OH 44720 CHECK DATE: 7/2/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 4237000 26793 6723321 514 . 50 OPTIC AL TRANSCEIVER ' 7249 Whipple Avenue NW e North Canton, OH 44720-7143 USA www.provantage.com * (330)494-3781 Fax: (330)494-5260 ONIVANTAGE X &A I I C3 X W SM 0 9 1 10 11 0 E-7 P�,�-L] »* TERMS: NET 30 DAYS SHIP: GROUND SERVICE (D/S) ORDER# 5903733 CUSTOMER# 2431004 PO# 26793 BILL TO Tel : (317) 571-2567 SHIP TO Tel : (317) 571-2567 ----' ----- RECEIVING PO# 26793 ACCTS PAYABLE CARMEL COMMUNICATIONS CITY OF CARMEL CITY OF CARMEL 3 CIVIC SQUARE 3 CIVIC SQUARE ITORMPI IN f-.ARMFI TN 4A01,--, Ship Code Description Each Total � 10 ACPN0LE 1000BLX SFP SMF 1310NM 10KM F/3COM 50. 75 507. 50 � Optical Transceiver � - Manufacturer' s Warranty � ` / ` Subtotal 507. 50 S & H 7. 00 Total US $ 514. 50 BALANCE DUE THIS INVOICE: tal- 01- tJQD <-- NET 30 DAYS / PAY BY 07/10/13 YOUR ORDER WAS TAKEN BY KATHY ZWICK EXT. 215 � THANK YOU FOR YOUR ORDER ! / mvomoo It payment is not received when due,a service charge of1.5m per month(18m APR)will be applied. sIN4a-31*u1oo � i City ®J�° Carme� INDIANA RETAIL TAX EXEMPT PAGE 1J1J�lrr CERTIF ICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 26793 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 6/2412013 SFP Spares r ProVantage Carmel Communications (� VENDOR SHIP Terry Crockett ©/ 7249 Whipple Avenue NW TO 3 Civic Square North Canton, OH 44720-7143 Carmel, IN 46032 (3171571-2567 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT I QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION r r Account 42.370.00 � 1 Each shipping $7.00 $7.00 10 Each 1000BLX SFP SIWF 1310NM 10KRA F/3COM Optical transceiver 3CSFP92-AO $70.71/ $507.50 = 34b T tl: $514.50 v \ r e A r 'vL `. ��, .,��,/}'_'} •.� '°----�•-....� °•mac''. )nd Invoice To: F �r F\ City!of Carmel Terry Crockett 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT irmel IS Dept. PAYMENT $514.50 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS A d1NOBLIGATED BALANCE IN P REPAID. THIS APPROPRI TION qWEEIQENf,TO PAY FOR THE ABOVE ORDER. � .D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY % �' iCHASE ORDER NUMBER MUST APPEAR ON ALL V . , DPING LABELS. ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 S1SLE Director ACTS AMENDATQRX Zht�k U%V0 SUPPLEMENT THERETO. CLERK-TREASURER UMENT CONTROL N0. �,���� p,•P•V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.__ WARRANT NO. — ALLOWED 20 ;; ;q✓y IN THE SUM OF$ o n �a Vn ; ON ACCOUNT OF APPROPRIATION FOR r� eir Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or bills is are true and correct and that the .f materials or services itemized thereon for which charge is made were ordered and received except , r 20 ---------------------- -- -- -.. _ Signature --------"-"---- - Title Cost distribution ledger classification if claim paid motor vehicle highway fund mar �s ' st,; ,:T ",`,&:uyr,{.'`,�,.]_. �i-`".�,G` >'•: ;tih. R, w a'°rC'.�. .;✓. `fir`.' * .� 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)) 06/10/13 6723321 $514.50 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 ProVantage IN SUM OF $ 7249 Whipple Avenue NW North Canton, OH 44720-7143 $514.50 ON ACCOUNT OF APPROPRIATION FOR IS Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 26793 I 6723321 I 42-370.00 I $514.50 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, June X2013 Director , IS Title Cost distribution ledger classification if claim paid motor vehicle highway fund