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31803 Otto Engineering CityINDIANA RETAIL TAX EXEMPT PAGE \�/ ®� Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER �' �` FEDERAL EXCISE TAX EXEMPT 31803 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 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 31612014 Radio Equipment parts Otto Engineering Carmel Communication Center VENDOR SHIP 311stAveNW 2 East Main Street TO Carmel, IN 46032 Carpentersville, IL 60110 (317)571-2586 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT OUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION Account 42470.00 10 Each Flexible Open Ear Insert Left C806573-LM $7.61 $76.10 10 Each Flexible Open Ear Insert Right C806573-RM $7.61 $76-10 10 Each Earphone kit Strait Plug Coil V1-10282 $43.69 $436.90 • 1 Each shipping $12.00 $12.00 Sub Total: $601.10 : 1::: 6) tit - , - . $R � Illir • Quote No. K'W030614 99ARME -0 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 $601.10 • A/P 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 ATTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • SHIP REPAID. ,/ •QO.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY // � -A ' •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ---.L'�[/�� SHIPPING LABELS. • •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE (2 GaFeetcr II, ‘66. . . • AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 3 1 8 0 3 CLERK-TREASURER DOCUMENT CONTROL NO. OFFICE COPY