The URL can be used to link to this page

222956 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 .e 4 $ . .... t a -° ��., 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