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City
of Iairinnie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101939
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL, INDIANA 46032-2584 - VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELSANDANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9/12/2018 366241
GIBSON TELDATA INC Carmel City Court
VENDOR PO BOX 3000 SHIP 1 Civic Square
TO Carmel, IN 46032-
TERRE HAUTE, IN 47803-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
29208
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1301 Fund: 506 Judical Salary Fees Fund
Account: 44-631.00
2 Each Headset $233.20 $466.40
Sub Total $466.40
SCANNED
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Send Invoice To: -1 $.. " ';-: y s ,,N r
Carmel City Court s. ; /
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Carmel, IN 46032- `�' L " ,a Art„.-',,,-'
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $466.40
SHIPPING INSTRUCTIONS •AN VOUCHER CA ••T BE APPROVED FOR PA MENT UNLESS THE P.O. NUMBER IS MADE A
-ART OF THE V'. CHER A ' •--Y INVOICE D VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFI)• T ATT•CHED. EREBY CERTIFY AT THERE IS AN UNOBLIGATED BALANC
'C.O.D.SHIPMENT CANNOT BEACCEPTED. T•iPP'$PR•TIO, SUFFICIENT TOP• FOR THE ORDS
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL _
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �\` 1. s
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY !'�rilik
TITLE \`
CONTROL NO. 101939 CLERK-TREASURER