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INDIANA RETAIL TAX EXEMPT
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CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
104810
FEDERAL EXCISE TAX EXEMPT
35-6000972
ONE CIVIC SQUARE
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CARMEL, INDIANA 46032-2584
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FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/15/2020366241
GIBSON TELDATA INC Department of Law
VENDORPO BOX 3000 SHIP 1 Civic Square
TO
Carmel, IN 46032-
TERRE HAUTE, IN 47803 - Douglas C. Haney(317) 571-2472
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
52526
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund:
1180101General Fund
Account:
44-631.00
1EachCommunication Equipment$716.00$716.00
Sub Total$716.00
Send Invoice To:
Department of Law
Douglas C. Haney
1 Civic Square
Carmel, IN 46032-
(317) 571-2472
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
$716.00
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ORDERED BY
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Douglas Haney
TITLECorporation Counsel
104810
'10531.01#
CLERK-TREASURER