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HomeMy WebLinkAbout100858 ARC ACQUISITION US INC LII . INDIANA RETAIL TAX EXEMPT Page 1 of 1 ity y ®f Carmel CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER�y of <✓ FEDERAL EXCISE TAX EXEMPT 100858 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP 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 10/27/2017 371648 Fiber Convertors 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 BLANKET CONTRACT PAYMENT TERMS --i FREIGHT 20159 LQUANTITY 1 UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION J Department: 1115 Fund: 101 General Fund Account: 43-500.00 2 Each TFC-1000S20 1000Base-T to 1000Base-LX SMF Convrt 20K $122.36 $244.72 2 Each TFC-1000MSC 1000Base-T to 1000Base-SX SC Fiber Converter $63.89 $127.78 Sub Total $372.50 Send Invoice To: Communications Quote No-Q-164723 and Q-164719 Timothy Renick 31 1st Avenue N.W. Carmel, IN 46032- (317)571-2576 PLEASE INVOICE IN DUPLICATE — DEPARTMENT ACCOUNT 1 PROJECT I PROJECT ACCOUNT r AMOUNT -------- ------------------ PAYMENT $372.50 SHIPPING INSTRUCTIONS `MP 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`�= =�'� AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY IP Timothy Renick TITLE Director CONTROL NO. 100858 CLERK-TREASURER O 4t