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it 37 ®f Iaririnie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
,j FEDERAL EXCISE TAX EXEMPT 100920
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
11/14/2017 371648 Camera parts
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 I CONTRACT j PAYMENT TERMS FREIGHT
20686
QUANTITY L UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 42-370.00
20 Each 5503-781 1 PC T91A6 Pipe Seal $10.22 $204.40
2 Each 5020-101 Axis T8311 Joystick w/USB cable $369.80 $739.60
Sub Total $944.00
Send Invoice To:
Communications Quote No.Q-164829 and Q-164830
Timothy Renick
31 1st Avenue N.W.
Carmel, IN 46032-
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT I
PAYMENT $944.00
SHIPPING INSTRUCTIONS 'ARP 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 r--. \�
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 -" " \
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY — `�
6,
Timothy Renick v
TITLE Director
CONTROL NO. 100920 CLERK-TREASURER