31521 Black Box Resale Services City O Carmel INDIANA RETAIL TAX EXEMPT
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I'Ci ty '®� I,�,/ CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER -
FEDERAL EXCISE TAX EXEMPT .. --- - 3\S Zl
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
311112014 .
Black Box Resale Services Cannel Police Department
VENDOR'DS 12-0976 SHIP 3 Civic Square
P.O. Box B$ TO Carmel, IN 46032
Minneapolis„ MN 554854976 (317)5712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE - EXTENSION
Account 44-640.00
2 Each Mitel cordless handset N50005711 . $212.00 $424.00
Sub Total: $424.00
IS
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Send Invoice To: _ �
Cannel Police Department S 005
Attn: Pat Young
•
3 Civic Square
Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. ( )C,' PAYMENT $424.00
N • 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 S AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUER,IT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. //
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY / `'
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL /L
SHIPPING LABELS. C I of POIICB
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31521
OFFICE COPY