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HomeMy WebLinkAbout33116 L-Com Global Connectivityof Came ONE CIVIC SQUARE CARMEL, INDIANA 46032-2584 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 INDIANA RETAIL TAX EXEMPT j Page 1 of 1 CERTIFICATE NO. 003120155 002 0' 1 PURCHASE ORDER NUMBER 1i FEDERAL EXCISE TAX EXEMPT ( �T 33116 L 35.6000972 THIS !NUMBER MUST APPEAR ONINVOCES. MI VOUCHER DELIVERY MEMO. PACKING SUPS, SNPPUJG LABELS AND ANY CORRESPONDENCE j PURCHASE ORDER DATE) DATE REQUIRED REQUISITION NO. f VENDOR £40. 9/2112015 L -COM GLOBAL CONNECTIVITY VENDOR PO BOX 55758 BOSTON , MA 02205--5758 FconHRMAT10N 1 BLANKET 1 CONTRACTT DESCRIPTION 358122 Data surge protectors PAYMENT TERMS Communications SHIP 31 1st Avenue N.W. TO Carmel, IN 46032- (317) 571-2576 6032-(317)571-2576 FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION Department: 1115 Account: 42370.00 Fund: 101 General Fund 3 Each HGLN-CATSJ LP, Indoor MP CAT5 Shield RJ45 3 Each AL-CAT5SJW LP, Outdoor CAT5 Sheild RJ45 Send Invoice To: Communications 31 1st Avenue N.W. Carmel, IN 46032 - Quote No. 9843264 UNIT PRICE 1 EXTENSION 541.55 538.43 Sub Total 5124.65 5115.29 5239.94 PLEASE INVOICE IN.DUPLICATE PROJECT ACCOUNT { AMOUNT 1 PAYMENT 5239.94 - AP VOUCHER WINO; BE APPROVED FOR PAYMENT!MESS THE 1.0. NUMBER IS MADE APART OF THE VOUCHER AND EY_RY INVOICE MO VOUCHER HAS THE MtOPER SWORN AFFIDAVIT AT 1A4'£D - I HEREBY CERTIFY THAT THERE IRAN UNOOUIGATED BALANCE IN THISAPPROPRV,NX! SUFFIENT TO PAY FOR THE ABOVE ORDER DEPARTMENT I ACCOUNT I PROJECT SNIPPING INSTRUCTIONS 'SMP PREPAD. 'C0 D, SMPMENT GINNOT 95 ACCEPTED 'PURCHASE ORDER NUMBER MOST APPEAR ON All SHIPPING LABELS. -TICS ORDER ISSUED IN COMPOAJJCE WITH CHAPTER 99, ACTS 19AS AND ACTS AMENDATORY THEREOF AND SUPREMENT THERETO. DOCUMENT CONTROL NO. 33116 ORDERED BY�/' TITLE OCftr ffT 9 a (-ez jpt' CLERK -TREASURER !' T/