HomeMy WebLinkAbout32660 HHPA Technology Oversight Boardof 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
32660
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
213/2095
County fiber ring support
HHPA - Technology Oversight Board
VENDOR 33 North 9th Street, Suite 215
Noblesville, IN 46050
SHIP
TO
Carmel Communications
Terry Crockett
3 Civic Square
Carmel, IN 46032
(39 7) 571 -2567
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
' FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43 -515.01
1 Each 2015 Annual HHPA- TOB Dues
Send Invoice To:
City of Carmel
Terry Crockett
3 Civic Square
Carmel; IN 46032-
PLEASE INVOICE IN DUPLICATE
$25,850.00
Sub Total:
$25,850.00
$25,850.00
DEPARTMENT
9202 Carmel IS Dept.
• 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.
ACCOUNT
PROJECT
PROJECT ACCOUNT
SHIPPING INSTRUCTIONS
ORDERED BY
TITLE
CLERK - TREASURER
I DOCUMENT CONTROL NO. 32660 OFFICE COPY
PAYMENT
• 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.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATEDBALANCE IN
THIS APPROP' P SSUFFICIEN /,T PAY FOR THE BOVE.:RDER.
Dire d
AMOUNT
$25,850.00
•