HomeMy WebLinkAbout227714 1/8/2014 CITY OF CARMEL, INDIANA VENDOR: 367737 Page 1 of 1
ONE CIVIC SQUARE FIBREBOND CORPORATION CHECK AMOUNT: $10,090.00
CARMEL, INDIANA 46032 1300 DEVENPORT DRIVE
MINDEN LA 71055 CHECK NUMBER: 227714
CHECK DATE: 11812014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 R4350100 31318 96832 10, 090 . 00 TOWER MAINTENANCE
Fibrebond Corporation Phone: 318.377.1030
P O Box 731276 Fax: 318.377.5756
Dallas, TX 75373-1276 FF-_�-__
USA FIBRE BOND
Date: 12/18/2013 Page: 1 of 1
Sold To: Ship To:
Carmel Comm. Center City of Carmel, Indiana
31 1st Avenue NW Carmel Communication Center
Carmel, IN 46032 31 1st Ave. NW
Carmel IN 46032
USA
EMail: Todd.Luckoski@Carmel.in.gov
i Shijp46115ldg: FS21038 Site:Carmel, IN Tower Site Building
Invoice: 96832 INVOICE
SITE: CARMEL, IN
TOWER SITE BUILDING
PO Number: 31318 TermS:NET 30 F.O.B: P L N T
Sales Rep: Scott Ivy Ordered:11/8/2013 Ship Via: Common Carrier
Packing Slip: 63967 Due Date 01/17/14 Ship Date: 12/12/2013 USD
PO Lrf! Quantity, Part Numbet/Descriptiow : Unit Price, Ext-Price
1 1.00EA FS210381_1 10,090.00000 EA 10,090.00
Field Service Maintenance Repairs
Subtotal: 10,090.00
Total: 10,090.00 USD
INDIANA RETAIL TAX EXEMPT PAGE
City of-Carmel '
— Carmee CERTIFICATE NO,003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31316
35-60000972
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
11113/2013
Eibrebond Corporation Carmel Communication Center
SHIP 31 1st Ave Ned
VENDOR /�
1300 Davenport Dr TO Carmel, IN 46032
Minden, LA 71055 (317)571-2565 (/ I
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
T__
QUANTITYUNITOF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-501.00
1 Each Tower Site Maintenance $10,090.00 $10,090.00
Sob Total: $10,090.00
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Send Invoice To: m .
Carmel Communication Center
31 1 Int Ave NW
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Communications PAYMENT $10,090.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
" -- NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS A�RIATION SUFFICIENT TO PAY,FOR"THE=ABOVE ORDER.
•SHIP REPAID. jyAYjFORTE-A
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL . .�
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31 d 18 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHERWARRANT
ALLOWED 20___
|NTHE SUM OF$
`
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ONACCOUNT{}FAPPROPRIATION FOR
C�
'
Board Members
PO#or D | hereby certify that the attached immico(s), or
bill(s) is (ane) true and correct and that the
materials orservices itemized thereon for
which charge iamade were ovdenedand
neneivodexo*��
.
`
`
2U____� '
'
Signature _
'
,
Title
^ � '
Cost distribution ledger classification 8
claim paid motor vehicle highway fund �
�
VOUCHER NO. WARRANT NO:
Fibrebond Corporation ALLOWED 20
IN SUM OF $
1300 Davenport Dr
Minden, LA 71055
$10,090.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
31318 96832 I 43-501.00 I $10,090.00
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
Tuesday, December 31, 2013
Director
i
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))
12/18/13 I 96832 I I $10,090.00
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
, 20
Clerk-Treasurer