HomeMy WebLinkAbout222956 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 367181 Page 1 of 1
ONE CIVIC SQUARE GOV CONNECTION, INC CHECK AMOUNT: $209.55
CARMEL, INDIANA 46032 732 MILFORD ROAD
NERRIMACK NH 03054-4631 CHECK NUMBER: 222956
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 25742 50459674 209 . 55 FUJITSU BRAKE ROLLER/
GovConnection, Inc.
7503 Standish Place
Rockville MD 20855
DUNS.-BO-967-8782 PLEASE ENCLOSE ATTACHED REMITTANCE
RECEIPT WITH YOUR PAYMENT.
REMIT TO ADDRESS: Federal ID No. Invoice No. Invoice Date
GOVCONNECTION, INC. 52-1837891 50459674 07/26/2013
PO Box 382810
PITTSBURGH PA 15250-8810 Company retains a purchase money security interest in
equipment until payment is made in full.
Sold To: Shipped To:
loz-#10-1724-2151-2368 City Of Carmel
l CARMEL POLICE DEPT 3 Civic Sq
3 CIVIC SQ Carmel Police Department
CARMEL IN 46032-2584 ATTN:Teresa Anderson
CARMEL IN 46032
IJ��ItIIttlltt���IIt�21tI��ItItItltlttlttlt�Ill�tt2tlLttlltl
Corp. Sales(800)800-0019 Credit Dept(888)294-0268 Cust. Serv. (800)800-0019
Date of Order Order No. Customer Purchase Order No. Account No. Terms Date Shipped Shipped Via
07/25/2013 49050740 25742 13281403 Net_1__ 07/26/2013 _SMALL PKG
Quantity
Back Item No. Description Unit Price Extension
Ordered I Ordered S
3 3 8224130 BRAKE ROLLER 6X40 SERIES 39.9500 $119.85
8224130 Mfg#PA03540-0001
3 3 8224148 PICK ROLLER 6X40 SERIES 29.9000 $89.70
8224148 Mfg#PA03540-0002
---------------- --------------- ------------------------------------------------------- -------
--------- —PLEASE NOTE EFT INSTRUCTIONS---------
For electronic funds trans ers, please remit to Citizens Bank:
-ACH Pe yments: ABA#2110-70175, Account# 1310873272
- WIRE P yments: ABA# 0115-00120, Account# 1310873272
Please include invoice number(s) in the transmitted information.
"We provide more timely and acc irate information to the business community by
sharing o r accounts receivable information with credit bureaus."
- Backordered items will be shipped and
Merchandise Sales Tax Shipping/Packaging invoiced to you as soon as they are available. Invoice Total
I Page 1 of 1 Banos, L $209.55
STANDARD TERMS OF SALE
For all PC Connection, Inc. Companies
All purchases from PC Connection,Inc. companies,including PC Connection, MacConnection
and GovConnection("Company")are subject to the following terms and conditions:
CUSTOMER ACKNOWLEDGMENT (d)ANY INFORMATION AND ADVICE PROVIDED BY COMPANY,
Customer acknowledges agreement with these Terms of Sale by INCLUDING INFORMATION AND ADVICE AS TO SUITABILITY
the placement of an order to purchase a Product from Company. OF PRODUCTS, COMPATIBILITY OF PRODUCTS,
NETWORKING ARCHITECTURE, OR ANY OTHER TECHNICAL
ALL SALES MADE IN NEW HAMPSHIRE* INFORMATION IS PROVIDED "AS IS" AND WITHOUT
All sales shall be deemed made in the State of New Hampshire, WARRANTY, AND COMPANY HEREBY DISCLAIMS ALL
USA, regardless of the location of the Customer. *Except WARRANTIES, EXPRESS OR IMPLIED, IN CONNECTION
purchases from GovConnection, which shall be deemed made WITH SUCH INFORMATION.
in the State of Maryland, USA.
LIMITATION OF LIABILITY
PURCHASE PRICE IN NO EVENT SHALL COMPANY BE LIABLE FOR SPECIAL,
(a) Prices are listed in the Company's catalogs and Web site, INCIDENTAL, OR CONSEQUENTIAL DAMAGES, INCLUDING
and are subject to change without notice. Prices for certain BUT NOT LIMITED TO LOSS OF PROFIT OR OPPORTUNITY.
governmental, corporate, and institutional customers may CUSTOMER'S SOLE AND EXCLUSIVE REMEDY IS STATED
be set forth in a bid or other written agreement between IN THE MANUFACTURER'S OR_P_U.BLISHER'S-END_USER__ _.__
the parties. WARRANTY ACCOMPANYING THE PRODUCT. IN NO EVENT
(b) Payment is due before shipment, unless credit terms SHALL COMPANY'S LIABILITY EXCEED THE REPAIR,
have been arranged in advance with the Company's REPLACEMENT OR COST OF THE SPECIFIC PRODUCT
Credit Department. PURCHASED FROM COMPANY. SOME STATES MAY NOT
In such case, payment terms shall be as set forth in the RECOGNIZE A DISCLAIMER OR LIMITATION OF WARRANTIES
credit agreement. AND/OR LIMITATION OF LIABILITY SO THE ABOVE
(c)The Company may collect sales and use taxes for certain DISCLAIMERS MAY NOT APPLY. CUSTOMER MAY ALSO
states. Please refer to the Web site or toll-free number HAVE DIFFERENT AND/OR ADDITIONAL RIGHTS AND
on the reverse of this form for the latest information.The REMEDIES THAT VARY FROM STATE TO STATE.
Company shall not be liable for handling or customs
charges for shipments outside the United States. RETURNS
Returns of Products are subject to Company's current return
SHIPPING TERMS policies, which are set forth in the catalogs, Web site, and
Shipping terms are: F.O.B. Shipping Point. The Company will shipping statement, subject to any additional or lesser return
arrange payment for shipping and insurance with the carrier, but rights adopted by the manufacturer or publisher.
such costs are the responsibility of Customer. Risk of loss is upon
Customer once the Company delivers the Product to the carrier. EXCLUSIVE AGREEMENT
Delivery times are estimates only and the Company shall not be These Terms of Sale represent the complete and final agreement
liable for delays. between the Customer and Company for the matters set forth
herein, and shall be supplemented only by the prices, quantity,
VENDOR LICENSE AGREEMENTS and descriptions set forth in Company's invoice for the relevant
Customer agrees to abide by all license provisions or end user sale. Terms contained in Customers' purchase orders, offers to
agreements imposed by the manufacturer or publisher. buy, terms and conditions, and the like shall have no effect.
INTERNATIONAL GENERAL
Products sold by Company, including equipment and software, (a)These Terms of Sale and any transactions made under
may be exported from the United States only in accordance with them shall be interpreted by and be subject to the laws
the Export Administration Regulations. Diversion contrary to of the State of New Hampshire, except for transactions
United States law is prohibited. Customer warrants and represents with GovConnection, which shall be interpreted by and be
that it is eliaible to receive products under United States law and subiect to the laws of the State of Marvland.
C14 INDIANA RETAIL TAX EXEMPT PAGE
of armel CERTIFICATE NO.003120155 002 0
\\�/// lL. V JL �1/ ��li PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 ae7AI
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
;ml
Gov Connection, Inc, Carmel Police Department
VENDOR SHIP
TO 3 CIVIC square
732 Milford Ro2d Camel, IN 46032
klenimack,I NH M54-463i
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY
a g UNIT�OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account �92°Y'19Jd.00
3 Eadi Fujitsu Brake Roller 8224130 $39.95 $119.85
3 Each Fujitsu lick Roller 8224148 $29.90 $89.70
Sots Total: $209.55
V
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4
$ .
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-° ��.,
Send Invoice To:
Cannel Police Department
Attn: Torosa AndwBon
3 Civic Square
Carmel, IN dam- PLEASE INVOICE IN DUPLICATE
DEPARTMENT' ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. R` �-- }� PAYMENT • 2M.
• 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 CERTIF�,THATTHERE ISAN UNOBLIGATED BALANCE IN
SHIP REPAID. RI
THIS APPROPATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ! d4fa9M.#�d L:�..i0aa.
w111. ar n W fte
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
;74
CLERK-TREASURER
DOCUMENT CONTROL NO. J A.P. • COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
- s
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
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gov Connection, Inc.
IN SUM OF $
732 Milford Road
Merrimack, NH 03054-4631
$209.55
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25742 I 50459674 I 42-302.00 I $209.55 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, August 09, 2013
Chief of Police
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))
07/26/13 50459674 scanner rollers $209.55
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