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HomeMy WebLinkAbout100446 CHAMPION OPTICAL NETWORK ENGINEERING Page 1 of 1 C1t)T o f IIairrnie1 INDIANA RETAIL TAX EXEMPT li CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER1 FEDERAL EXCISE TAX EXEMPT 100446 ------- ----- -- --- ONE CIVIC SQUARE L35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO.PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE :PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 5/16/2017 369344 SFP Modules CHAMPION OPTICAL NETWORK ENGINEERIN Information Systems VENDOR PO BOX 636640 SHIP 3 Civic Square TO Carmel, IN 46032- , CINCINNATI,OH 45263--6640 Terry Crockett (317)571-2567 PURCHASE ID BLANKET CONTRACT 1 PAYMENT TERMS FREIGHT 15381 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE 1 EXTENSION Department: 1202 Fund: 101 General Fund Account: 44-632.01 5 Each GESFP-LX-H3C SFP 1000BASE-LX 10KM,SYSTEMS capatible $58.00 $290.00 Sub Total $290.00 Send Invoice To: Information Systems Quote No.q908050sr Terry Crockett 3 Civic Square Carmel, IN 46032- (317)571-2567 PLEASE INVOICE IN DUPLICATE DEPARTMENT I ACCOUNT 1 PROJECT PROJECT ACCOUNT 9 AMOUNT 1 PAYMENT $290.00 SHIPPING INSTRUCTIONS S .NP 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 `SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN •C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. 'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL ) 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 `�i f/1„ ------ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY --- -- - \ (-\1. Terry Crockett \� TITLE Director CONTROL NO. 100446 CLERK-TREASURER