HomeMy WebLinkAbout227850 1/8/2014 CITY OF CARMEL, INDIANA VENDOR: 367801 Page 1 of 1
,q f ONE CIVIC SQUARE VISUALPRO 360, INC CHECK AMOUNT: $1,182.10
CARMEL, INDIANA 46032 1747 SOUTH HOLBROOK LANE
TEMPE AZ 85281 CHECK NUMBER: 227850
CHECK DATE: 1/8/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4467099 31390 31195 1, 182 . 10 INPUT CAR ADAPTER
VisualPro
360 Invoice
PROVIDING TOMORROWS SOLUTIONS TODAY
Visual Pro 360 Inc Date Invoice#
1747 Holbrook Lane
Tempe AL 85281 12/17/2013 31 195
480-621-3395
Bill To Ship to
City of Carmel Cit-of Carmel
Todd Luckoski Communications Center/Todd Luckoski
31 1 st A\,e N\Nl 31 1 st A\,e NW
Carmel, IN 46032 Carmel. IN 46032
Sales Rep P.O. Number Terms Due Date
EM 31390 Net 20 1/6/2014
Item Description Quantity Price Each Amount
C17-LNDDC120 Lind Input Car Adaptor 120 Watt 12-32 Volt 10 118.21 1;182.10
FEDEX GROUND tracking# 013840261528530 shipped on
12/17
In Exempt from Sales Ta:x 0.00% 0.00
Balance Due $1,182.10
Payments/Credits $0.00
Total $1,182.10
®�V -/f w _ ��. I INDIANA RETAIL TAX EXEMPT PAGE -"
(�+/("�1 11��'J�A11�11b CERTIFICATE NO.003120155 002 0
I
PURCHASE ORDER NUMBER' '
FEDERAL EXCISE TAX EXEMPT _
35=60000972
ONE.CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,-A�
CARMEL, INDIANA 4603272584 VOUCHER,•DEL•IVERY MEMO,-PACKING SLIP(
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPINGLABELS AND ANY CORRESPONDENCI
IRCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. i 'DESCRIPTION
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ONFIRMATION ''BLANKET CONTRACT _ PAYMENT TERMS -- - �`T"i �•'�1'•• -;' ',�FR€IGFIT f� '•
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION.
'0` Gatch Lind'120• t 92-32 Vch lhptg C@r :CF.-�.WDDC120 $91$.2$ �✓•
Adapter
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?end Invoke To: .. .
Carmel Polleo 06pgftmont
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Camel; IN 2: PLEASE INVOICE-IN OuPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
irrri�I I�talict�Aeg$.. {� PAYMENT ;760
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT.UNLESSTHE P.O.
I NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT'ATTACHED.
J 16
I SHIPPING INSTRUCTIONS I HEREBY CERTIFY,THAT THERE ISHAN UNOBLIGATED BALANCE IN
SHIP REPAID..' - THIS APPROPRIATIOWSUFFI•I:14AO PAY FOR THE ABOVE ORDER.
C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
t SHIPPING LABELS. /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �QYIdTC HHr�i+d5
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
iOCUMENT CONTROLNO. 31 x.90 A.P.V. COPY-SIGN AND RETURf�TO CLERK'S O��IC�
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))
01/02/14 31195 car adaptor $1,182.10
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
VisualPro 360, Inc.
IN SUM OF $
1747 South Holbrook Lane
Tempe, AZ 85281
$1,182.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31390 I 31195 I 44-670.99 I $1,182.10 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
t
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, January 03, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund