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INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PAGE 1
PURCHASE ORDER NUMBER
38249
I HIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCI IER, DELIVERY MEMO, PACKING SLIPS,
SI IIPPINO LABE=LS AND ANY CORRE=SPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
3/26/2015
03/31/15
On -Ramp Indiana
859 Conner St
VENDOR Noblesville, IN 46060
CONI'IRMA I ION BI ANKI
REQUISITION NO.
VENDOR NO.
DESCRIPTION
4629
DIA Ordering and Line Install
SHIP
TO
CON RAC I•
PAYMENT IERMS
Administration Office
1411 E. 116th Street
Carmel, IN 46032
FWEIGIIT
QUANTITY I UNIT OF MEASURE= I DESCRIPTION I UNIT PRICE I EXTENSION
1.000 each NRC Install 3yr Contract Initial Setup Fee $ 500.0000 $ 500.00
1.000 each Fiber Optic Cross Connect Setup Estimate $ 1,500.0000 $ 1,500.00
GLAccount# 1125101 - 4341955
Send Invoice To:
DLPAR I MEN I.
$ 2,000.00
PLEASE INVOICE IN DUPLICATE
ACCOUNT
SHIPPING INSTRUCTIONS
Si TIP REPAID
• C.0 I ) SI I I P M I N I S CANNO I I 1 1 ACCT •P I I I)
• PURCITASr 0121)1'32 NUMUI=R MUST APPEAR ON Al I SHIPPING I AI1) =1 S
IIIIS ORDER ISSIIFI) IN COMPLIANCE W11}1 CHAPTT =R 99, ACTS 1945
ANI) AC IS AMILNDAI ORY [HEREOF ANDSUPPLEME)NI 11IERE 10.
DOCUMENT CONTROL NO. 38249
PROJECI
PROJFC I ACCOUNT
AMOIJNI
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.0- 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 UNOBLIGATEO BALANCE IN THIS APPROPRIATION
SUFFICIENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY
TITLE
CLERK - TREASURER
Dawn Koepper
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