HomeMy WebLinkAbout33059 Markertek VideoCity of Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
35-6000972
Page 1 of 1
PURCHASE ORDER NUMBER
33059
THIS NUMBER MUST APPEAR ON INVOICES, MP
VOUCHER, DEUVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
6/25/2015
00352311
Video Extender
MARKERTEK VIDEO SUPPLY
VENDOR 812 KINGS HIGHWAY
BOX 397
SAUGERTIES
NY 12477 -
SHIP
TO
Information Systems
3 Civic Square
Carmel, IN 46032-
(317) 571-2576
CONFIRMATION
BLANKET
CONTRACT I PAYMENT TERMS
I
FREIGHT
QUANTITY
UNIT OF MEASURE DESCRIPTION
UNIT PRICE
EXTENSION
Account: 44-632.01 Department: 1202 Fund: 101 General Fund
2 Each KAN-VGAEXTX8 Kanexpro VGAEXTXB w/audio splitter/CAT5 Extender System $524.95
Send Invoice To:
Information Systems
Terry Crockett
3 Civic Square
Carmel, IN 46032 -
PLEASE INVOICE IN DUPLICATE
$1,049.90
Sub Total $1,049.90
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
SHIPPING INSTRUCTIONS
'SHIP PREPAID.
T.0.D. SHIPMENT 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.
DOCUMENT CONTROL NO. 33059
ORDERED BY
TITLE
CLERK -TREASURER
PAYMENT $1,049.90
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
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 APP:OPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.