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31676 Exacq Technologies
City0 Q.,�T Carmel INDIANA RETAIL TAX EXEMPT PAGE of .\ .2 rmel CERTIFICATE NO.003120155 002 0 ' y y ��SS� ..///w.� �s.�111111 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 31676 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES.NP 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 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION**` 1213112013 ExacgVision Technical Reseller Training • Exacq Technologies Cannel Communication Center VENDOR SHIP TO 31 1st Ave NW 11955 Exit 5 Parkway Carmel, IN 46032 Fishers, 1 46037 (317)571-2586 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43470.04 2 Each Technical Reseller Training $250.00 $500.00 . Sub Total: $500.00 i 0:47010:0:..F.el..9..EA: 4). ,__,4‘.,, , ,raw 1/4 ,• 111 1 ; ' ..; • Send Invoice.To: U- 4\1 ©©• • Carmel Communication Center 31 1st Ave NW . .- Cannel, IN 46032- 2 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT . PROJECT PROJECT ACCOUNT AMOUNT 1115 Communications PAYMENT MQf�9Pr�r�(l� • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLE55TR27.T1. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND I. • VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS _ t • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPg�-• 'TION SU F CIE T TO PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /,, D ORDERED BY L;