31699 Axis Communications North America /(�y� INDIANA RETAIL TAX EXEMPT PAGE
City ®f 1\ arnit( l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
\�/ 1, . FEDERAL EXCISE TAX EXEMPT 31699■
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 .. - _ VOUCHER, DELIVERY MEMO: PACKING SLIPS,
i 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
212812014 Camera repair
Axis Communications North America Carmel Communication Center
VENDOR cto PartnerTech Inc. SHIP 31 1st Ave NW
2420 Tech Center Parkway, Ste 100 TO Carmel, IN 46032
Lawrenceville, GA 30043 (317)571-2586
OONRRMATION BLANKET CONTRACT PAYMENT TERMS - FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE , EXTENSION
Account 43-500.00
1 Each Repair Camera and heater water damage CST Case#431809 $227.00 $227.00
Sub Total: $227.00
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Part#P3344 Mac-00408CBt7103}ens1?PAM
Send Invoice To:
Cannel Communication Center
31 1st Ave NW
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT• AMOUNT
1115 Communications PAYMENT $227.00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
• SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER
•C.O.D.PURCHASE SHIPMENTS CANNOT MUST ST APPEAR ORDERED BY v. il�--
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.' /�� ///1
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 4(2.' -2 e- /�L�llf!iR/ .
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO" / 4
.
CLERK-TREASURER.-.,.r '
DOCUMENT CONTROL NO. 31699 OFFICE COPY 'U