HomeMy WebLinkAbout26647 HHPA-Technology Oversight Board C ity ®f� Carmel IRTIFIC RENO.0031 EXEMPT PAGE
of CERTIFICATE NO. TAX EXEMPT PT 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26647
35-60000972
ONE CIVIC SQUARE 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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1/2412013 County Fiber Ring support
HHPA-Technology Oversight Board Carmel Communications
SHIP TG Tf Crockett
VENDOR 33 North Seth Street, Suite 295 TO 3 Civic Square
Noblesville, IN 46060 r Carmel, IN 46032
(39 7)571-2567
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-515.09
1 Each Ann. Support for County Fiber Ring, Carmel $20,850.00 $20,850.00
Portion
Sub Total: $20,850.00
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P rsuant to Interlocal Agreement with-HHPA-= . Ri _,,)Send Invoice o k '
City of Carmel — . ~i., ,
Terry Crockett ,
3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT. • AMOUNT
Carmel IS Dept. , •:PAYMENT X20,650.00•
• NP 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 AFFIDAVIT A 'CHED.
SHIPPING INSTRUCTIONS - • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGAT a BALANCE IN
•SHIP REPAID - - THIS AP PRIATION SUFF NT TO PAY FOR T'� �:•VE-0-PER. r
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. .F p/ r'" �/,
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY - ��' '
SHIPPING LABELS. - Director ,
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 26647 OFFICE COPY .