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HomeMy WebLinkAbout24635 Matrix Integrationof Carmel ONE CIVIC SQUARE CARMEL, INDIANA 46032 -2584 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003120155 002 0 FEDERAL EXCISE TAX EXEMPT 35- 60000972 PAGE \ ®� \ PURCHASE ORDER NUMBER 2A4-4 THIS NUMBER MUST APPEAR ON INVOICES, NP VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NOT DESCRIPTION 1 lor12014 v\ C�� <,\`��.,,o v�\-��`�a- VENDOR Matrix Integration Valerie Lange 417 Main Street Jasper, IN 47546 SHIP TO Carmel Fire Department 1 Cannel Civic Square Cannel, IN 46032 f�171f71 7'2 CONFIIRRMA BLANKET CONTRACT PAYMENT TERMS FREIGHT \nON v v\ QUANTITY UNIT OF MEASURE \ DESCRIPTION UNIT PRICE EXTENSION Account 102:631• 1 Each State of Indiana Contract #13079 1 Each HP Switiching - V1910 -24G -POE 365W Switch 1 Each HP Location ID# 10025751 Send Invoice To: JE007ASMA.BA Cannel Fire Department 1 Cannel Civic Square Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE $0.00 $529/6 $0.00 Sub Total: $0.00 $529.76 $0.00 $529.76 DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cannel Fire Department SHIPPING INSTRUCTIONS • SHIP REPAID. • C.O.D. SHIPMENTS CANNOT BE ACCEPTED. • 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. 24635 DOCUMENT CONTROL NO. PAYMENT t • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THAW29 -76 NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. ORDERED BY 5–` dN‘t— –� ~ _■,_ " .\ U TITLE CLERK- TREASURER OFFICE COPY I