HomeMy WebLinkAbout26687 Gibson Teledata Inc / C1''iI 01 Carmel' INDIANA RETAIL TAX 015500 PAGE
I\ }A1 1111 1111 CERTIFICATE NO. 003120155 002 0
PURCHASE O OE NU BER (.4_,
FEDERAL EXCISE TAX EXEMPT
35-60000972 -
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2564 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1097
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO, VENDOR NO. DESCRIPTION
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6 Dt -3R ld. 1 [T 1 + SHIP �a�1//�� l�l l k (00P -
VENDOR 1. 0.10y 7000 TO o c ` i0( ? 1/4?2)
19 0 P &LA° r1l (17-F03 (1 -? v\Pc_ r 7*-( 6o1 )
CONFIRMATION BLANKET CONTRACT - PAYMENT TERMS FREIGHT
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,QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
eack �\ dS s 0Z 5330e cikkorAL5
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Send Invoice To:
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PLEASE INVOICE IN DUPLICATE 'j ( 4/
DEPART ENT `
ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
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Po n I PAYMENT
-/. • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO
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11//TJ NUMBER IS MADE A PART OF THE VOUCH EA AND EVERY INVOICE AND
VOUCHER HAS,aH[PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS (CI HER BYO RTIFYT1ATTHPRIE IS AN UNOeUGATED BALANCE IN
((( T 6.APP PRIATIOII SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID. ElV/lli
•C.OA,SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL L
SHIPPING LABELS. C -I Thck(CICI
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE
.,- AND ACTS AMENDATORY THEREOF AND SUPPLEM ENT THERETO.
����� CLERK-TREASURER
• DOCUMENT CONTROL NO. OFFICE COPY
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• Installed Customer MAC Order
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� Court
; °s tetaata Inc 1
Date: 3-21-2013
Gibson Account Executive: Dorothy Jones
Customer Name: City of Carmel
Address: Customer Contact: Greg Bedell
City. C #: _,6 l
<`lC1'
State: Zip: Customer PO# (if applicable) iThir
Scope of Work:
For the Court_
Add 5 Cordless handsets to existing 5330e phones.
(5) Cordless IP Dect Headset Bundles $282@
A PO#will be issued for this work. The customer is providing installation for these handsets.
Implementation date to be determined by customer and implementation team.
Description Price
Total Materials $ 1,410.00
1 Gibson Professional Services N/A
Final Total (Excluding Tax) S 1,410.00
The cu suwter's rtgnahrre bedew acknowledges the feint and conditthns that govern blurs Installed Cushnrmer Order are Sc!ford? in the
Purchase and In.vtallaiion contract for this customer, These provisions lake precedence over all other purchase Or6101'S or cortlracla'.
()voted prices are emltd for 30 days,
USTOJIIE CCfrTANtE Gibson ACCEPTANCE
(Legal Entity Name) L C)el� — (Legal Entity Name) Gibson Teldata, Inc.
(Authorized Signature) ! '[ I (Authorized Signature)
(Typed or Printed Name) 3,3C9 r-0 O` J _rPed or Printed Name)
(Date) _ i / - d o �,Y 1� (Be.)
Revised 03-19-2012
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