222318 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 00352419 Page 1 of 1
ONE CIVIC SQUARE BELL TECHLOGIX INC CHECK AMOUNT: $826.88
*a,�;r•. CARMEL, INDIANA 46032 PO BOX 823342
PHILADELPHIA PA 19182-3342 CHECK NUMBER: 222318
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4340400 20669 BI341253 826 . 88 SOFTWARE
lecHogix PAGE:l
INVOICE:BI 341253
REMIT TO: INVOICE DATE: 0 7/17/13
BELL TECHLOGIX INC DUE DATE: 08/16/13
P.O. BOX 823342
PHILADELPHIA PA 19182-3342 TERMS:Net 30
317-333-7777 Net 30 Days
866-782-2355 Y
SHIP TO: BILL TO: 1201825
City of Carmel Department of C CITY OF CARMEL
2 Civic Square ONE CIVIC SQUARE
PO# 20669 ATTN: ACCOUNTS PAYABLE
Carmel IN 46032 CARMEL IN 46032
USA
ORDER: 707688
ORDER DATE: 07/12/13
CUSTOMER P0: 2 0 6 6 9
CARRIER:
FREIGHT TERMS:
METHOD:
TRANSPORTATION ID:
SALESPERSON: JUANA YOUNCE
CURRENCY: United States Dollars
ITEM • UNIT PRICE NET AMOUNT
DESCRIPTION,City of Carmel Department of Community
Lisa Stewart
EMAIL CAREPACK:JYOUNCE @BELLTECHLOGIX.COM
Cust PO Num: 20669 `
Contact name: Terry Crockett
Phone: 3175712567x
Email : tcrockett @carmel . in.gov
Prices are based on WSCA II contract pr
ricing or better. JUL 19 2013 -A
Please include POo23 in the shipping li
BELL SO 707688 - 20102206 `:
3 UC283E 2 EA 730 . 60
4YR UPG WARR ONSITE NBD WITH 365 .30 EA
OFFSITE ACCIDENTAL DAMAGE PROT
6 UOJ10E 4 EA 96 .28
CARE PACK NBD 4 YEARS 24 . 07 EA
EXTENDED SERVICE AGREEMENT
****************************************
PAST DUE ACCOUNTS CARRY INTEREST AT THE
LESSER OF 1.5o PER MONTH OR THE
MAXIMUM LEGAL RATE IN THE JURISDICTION
IN WHICH THE CUSTOMER'S PRINCIPAL PLACE
OF BUSINESS IS LOCATED
****************************************
ALL DELIVERY TERMS ARE F.O.B. ORIGIN
TO REQUEST A STATEMENT OF ACCOUNT PLEASE
CONTACT 866-782-2355 EXT 7787
****************************************
FEDERAL TAX ID# 26-3683994
****************************************
FREIGHT CHARGE:
GROSS AMOUNT:
INVOICE DISCOUNT:
NET AMOUNT:
TAX AMOUNT:
DOWN PAYMENT:
NET AMOUNT DUE:
Techlogix PAGE:2
INVOICE:BI 341253
REMIT TO: INVOICE DATE: 0 7/17/13
BELL TECHLOGIX INC DUE DATE: 08/16/13
P.O. BOX 823342
PHILADELPHIA PA 19182-3342 TERMS:Net 30
317-333-7777 Net 30 Days
866-782-2355 �'
SHIP TO: BILL TO: 1201825
City of Carmel Department of C CITY OF CARMEL
2 Civic Square ONE CIVIC SQUARE
PO# 20669 ATTN: ACCOUNTS PAYABLE
Carmel IN 46032 CARMEL IN 46032
USA
ORDER: 707688
ORDER DATE: 07/12/13
CUSTOMER PO: 2 0 6 6 9
CARRIER:- ----
FREIGHT TERMS:
METHOD:
TRANSPORTATION ID:
SALESPERSON: JUANA YOUNCE
CURRENCY: United States Dollars
ITEM
NET AMOUNT
® •
DESCRIPTION
FOR SERVICE CALL 1-800-999-9813
FREIGHT CHARGE: 0 . 00
GROSS AMOUNT: 826 . 88
INVOICE DISCOUNT: 0 . 00
NET AMOUNT: 826 . 88
TAX AMOUNT: 0 . 00
DOWN PAYMENT: 0 . 00
NET AMOUNT DUE: 826 . 88
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 Lumber (or note attached invoice(s) or bill(s))
l� 13 X1253 $2Co �g
Total
I 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.
�� � •��Gi ^ I O i X 1 ( �G ALLOWED 20
IN SUM OF $
`Plat 1 a ckcl -k 10 , �
$ g2� f88
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or . VOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
20(PtP9 3412-53 cyr+- $2�v-gg bill(s) is (are) true and correct and that the
v,►0-ye- materials or services itemized thereon for
14i-U32— D Z which charge is made were ordered and
received except
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund