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HomeMy WebLinkAbout100762 ARC ACQUISTION US INC INDIANA RETAIL TAX EXEMPT Page 1 of 1 City of I1 2ur] n e1 f CERTIFICATE NO.003120155 002 0PURCHASE ORDER NUMBER ,j �j�j Jj FEDERAL EXCISE TAX EXEMPT 1007 2 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP 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 10/2/2017 371648 fiber Converters ARC ACQUISITION US INC Communications VENDOR PO BOX 731576 SHIP 31 1st Avenue N.W. TO Carmel, IN 46032- DALLAS,TX 75373--1576 Timothy Renick (317)571-2576 PURCHASE ID I BLANKET 1 CONTRACT PAYMENT TERMS FREIGHT 1 19414 i 1 I QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1115 Fund: 101 General Fund Account: 43-500.00 12 Each TFC-1000MSC 1000Base-T to 1000Base-SX SC Fiber Converter $63.89 $766.68 Sub Total $766.68 Send Invoice To: Communications Quote No.Q-164719 Timothy Renick 31 1st Avenue N.W. Carmel, IN 46032- (317)571-2576 PLEASE INVOICE IN DUPLICATE 1 DEPARTMENT ACCOUNT PROJECT 1 PROJECT ACCOUNT 1 AMOUNT PAYMENT $766.68 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 C`:�- *THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 }� jy' AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY - Timothy Renick TITLE Director \0\711 CONTROL NO. 100762 CLERK-TREASURER v