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of Carme
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100990
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
DESCRIPTION
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PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO.
11/30/2017 366241
GIBSON TELDATA INC Dept of Community Service
VENDOR PO BOX 3000: SHIP 1 Civic Square
TOCarmel, IN 46032-
TERRE HAUTE, IN 47803-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21089
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE: EXTENSION
Department: 1192 : Fund: 101 General Fund
Account: 42-302.00
1 Each Phone Accessory $175.00 $175.00
Sub Total $175.00
,
•
Send Invoice To:
Dept of Community Service
1 Civic Square: _
Carmel, IN :46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ! ACCOUNT N PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $175.00
SHIPPING INSTRUCTIONS
.PNP
VOUCHER*SHIP THE VOUCHERANDNNOTBE EVERYPROVINVOICE AND VOUCHER HAS THE PROPER SWORN
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 .. f
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 '- �_.."t"
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
Mike Hollibaugh `
TITLE Director `/t A` `�(�
CONTROL NO. 100990 CLERK-TREASURER \lll///��\ `�