HomeMy WebLinkAbout226826 12/03/2013 - SwF
CITY OF CARMEL, INDIANA VENDOR: 354408 Page 1 of 1
ONE CIVIC SQUARE SYSTEM SOLUTIONS, INC CHECK AMOUNT: $591.91
CARMEL, INDIANA 46032 526 CHAUNCY ST
«ors cP
"? CARMEL IN 46032 CHECK NUMBER: 226826
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4463201 31314 5458 591 . 91 DESKTOP INTERNAL DRIV
SYSTEM SOLUTIONS, INC. Invoice
526 CHAUNCY ST
CARMEL IN 46032 Date Invoice#
Tel: (317) 582-1765 11/8/2013 5458
Fax: (317) 663-1041
Bill To Ship To
CITY OF CARMEL CITY OF CARMEL
ATTN: TERRY CROCKETT ATTN: TERRY CROCKETT
THREE CIVIC SQUARE THREE CIVIC SQUARE
CARMEL,IN 46032 CARMEL,IN 46032
USA USA
P.O. No. Terms Rep Ship Via FOB
31314,. Net 30 RTM BEST WAY ORIGIN
Item Description Qty Rate Amount
WD20EZRX WD Green Desktop 2TB 3.5"Internal Hard Drive SATA 5 99.99 499.95
-64 MB Buffer
HSB100SATBK 5.25'Trayless Hot Swap Mobile Rack for 3.5"Hard 4 19.99 79.96
Drive I x 3.5- 1/3H Internal Hot-swappable-Internal-
Black
FREIGHT FREIGHT/HANDING/INS I 12.00 12.00
Past Due Accounts incur a 2%finance charge&$45 late fee. Accounts past 45 days subject
to collections. Subtotal
$591.91
Sales Tax (7.0%) $0.00
Total $591.91
Phone# Fax# E-mail Web Site
317-582-1765 317-663-1041 sales @systemsolutions-inc.com www.systemsolutions-inc.com
ity ® (�° C����� INDIANA RETAIL TAX EXEMPT PAGE
,Jlr CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 3'1314
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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1 9 1131209 3 t Hard Drives 1�J
System Solutions, Inc. Carmel Communications /
VENDOR SHIP Terry Crockett
526 Chauncy St TO 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
1317)571-25.,
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44-632.01
1 Each Freight/handling $12.00 $12.00
5 Each WD Green Desktop 2TB 3.5"internal hard drive SATA WD20EZRX $99.99 $499.95
4 Each 5.25"Tra)Aess Hot Swap Mobile Rack for 3.5"har drlYp HSB100SATBK $19.99 $79.96
Sub Total: $591.91
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Send Invoice To: Quote#!'03519 '
City of Carmel
Terry Crockett
3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel IS Dept. PAYMENT $599.91
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO'PAY'FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. '
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
vrr-
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE DIre&ar
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
qq CLERK-TREASURER
DOCUMENT CONTROL NO. 3 1 3 b 4 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO_ WARRANT NO`_____
ALLOWED 20___
|N THE SUM QF$
ON ACCOUNT{)F APPROPRIATION FOR
ell�
Board Members
PO#Or INVOICE NO. ACCT#/TlTLE AMOUNT
DEPT# | hereby certify that the attached invoioe(e), or
bill(s) is (one) true and correct and that the
`
materials orservices itemized thereon for
which charge ia made were ordered and
reoeivednxo�p�
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� '20___-
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Title `
Cost uismuuono '
claim paid motor vemute highway fund '
. .
VOUCHER NO. WARRANT NO.
ALLOWED 20
System Solutions, Inc.
IN SUM OF $
526 Chauncy St
Carmel, IN 46032
$591.91
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31314 5458 44-632.01 $591.91
I hereby certify that the attached invoice(s), or
1 I
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
'----�onday, December 02, 2013
Director , IS
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 5458 $591.91
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
120
Clerk-Treasurer