226377 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 362168 Page 1 of 1
ONE CIVIC SQUARE L-3 COMMUNICATION MOBILE-VISION Iii
CARMEL, INDIANA 46032 PO Box 5580
CHECK AMOUNT: $269.00
GENERAL POST OFFICE CHECK NUMBER: 226377
"ON NEW YORK NY 10887-5580
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 31356 0205764-IN 269 . 00 BODY MIC
I
communications Mobile-Vision, Inc. Invoice Number: 0205764-IN
90 Fanny Road Invoice Date: 11/8/2013
Boonton, NJ 07005
Phone: (800) 336-8475 Order Number: 0123703
F 973 257-3024 Order Date 11/7/2013
Fax:
( Salesperson: ZLMB
Tracking Number: 1zx5x9890365693829; Customer Number: INCARME
Sold To: Ship To:
Carmel Police Department Carmel Police Department
3 Civic Square 31 1 s Avenue NW
Attn:Teresa Anderson Attn:Brian Smith
Carmel,IN 46032 Carmel, IN 46032
Confirm To:
Brian Smith Page: 1
Customer P.O. Ship VIA F.O.B. Terms
31356 UPS GROUND BOONTON, NJ Net 30 Days
Item Number Unit Ordered Shipped Back Order Price Amount
MVD-VLP2-TRA EACH 1.00 1.00 0.00 255.00 255.00
Assembly,Voice Link Plus 2 Transmitter w/Belt Clip,VLP2 9"&40"Lapel Microphones Whse: 000
SN:FB206650
PLEASE REMIT PAYMENT TO L-3 COM MOBILE VISION,INC Subtotal: 255.00
PO BOX 5580 NEW YORK NY 10087-5580
Ship/Handling: 14.00
Sales Tax: 0.00
Invoice Total: 269.00
These commodities are controlled under the Export Administration Regulations(EAR)and may not be
exported without proper authorization by the US Dept of Commerce.
INDIANA RETAIL TAX EXEMPT PAGE
C 1 ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972a •ter..
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
9
W Communicationo Mobil@aVicion, Inc. Cumal Police Dopartmont
VENDOR SHIP
TO CIVIc squaro
P.O. Box 5w Carmel, IN 4I
Vo 9-EM 67,1
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-M.00
9 Each BodyMic P VLP2 TRA $255.00 $255.00
Stab Total: $255.00
4ti I pr
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Cot
s€�
yea m ¢
s
Sendr�voiie¢6Toc
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CarmG1 Polico DepmtmGnt
Attn: Toresa Anderson
3 Civic Squaw
Carrel, IN 46=- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT L AMOUNT
Carmel Police Dept. ' C,96 PAYMENT M5.00
y 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 CERTI Y/7HAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPRO
/ ON SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 1 3 5 6 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO WARRANT NO.
ALLOWED 20___
>N THE SUM OFs
'
`
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# / hereby certify that the attached ihvoice(s), or
biU(s) iohare\ true and correct and that the
materials o/services itemized thereon for
which charge is made were ordered and
raoeivndoxoop�
. .
' .
20�___ . .
.
� � '
`
. ,
Title
.
'
Cost distribution ledger classification
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
L-3 Communications Mobile-Vision, Inc.
IN SUM OF $
P.O. Box 5580
New York, NY 10087-5580
$269.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31356 I 0205764-IN I 43-500.00 I $269.00 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
Thursday, November 14, 2013
S� 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))
11/08/13 0205764-IN body mic $269.00
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