HomeMy WebLinkAbout100725 ARC ACQUISTITION US INC ilty INDIANA RETAIL TAX EXEMPT Page 1 of 1
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
l FEDERAL EXCISE TAX EXEMPT 100725
ONE CIVIC SQUARE 1 - 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AQP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
911212017 371648 HDMI Transmitter Extender
ARC ACQUISITION US INC Communications
VENDOR PO BOX 731576 SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
DALLAS,TX 75373--1576 (317)571-2576
PURCHASE ID I BLANKET I CONTRACT PAYMENT TERMS FREIGHT
18938
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 42-370.00
1 Each 16049 BLACKBIRD PRO WIRD 60GHZ HDMI EXTENDER $153.20 $153.20
1 Each CDP2HDUCPW Single USB type C port $28.93 $28.93
Sub Total $182.13
Send Invoice To:
Communications Quote No. Q-164681
31 1st Avenue N.W.
Carmel, IN 46032-
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT 2 ACCOUNT tl PROJECT PROJECT ACCOUNT d AMOUNT
- PAYMENT $182.13
SHIPPING INSTRUCTIONS *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 Y3..- .4- I e..
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY U -
Janet Arnone
TITLE Admin Assistant
CONTROL NO. 100725 CLERK-TREASURER