31823 COmmunication SPecialities ®� Carmel INDIANA RETAIL TAX EXEMPT PAGE
ir 1111 of I,�l J CERTIFICATE TAI TAX EXEMPT PT 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
31823
_ 35-60000972
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
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PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
I' 511/2014 MCV Video Switcher repair
Communications Specialties, Inc. Carmel Communication Center
VENDOR SHIP 31 1st Ave NW
TO
125 Comac St Carmel, IN 46032
Ronkonkoma, NY 11779 (317)571-2576
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE • DESCRIPTION UNIT PRICE EXTENSION
Account 43-500.00
1 Each Repair of Deuce SDQ- 2240 RP9115 $300.00 $300.00
1 Each shipping $30.00 $30.00
Sub Total: $330.00
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Send Invoice To: �� ��
Cannel Communication Center
31 1st Ave NW
Cannel, IN 46032-
. PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
1115 Communications PAYMENT $330.00
• NP 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.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY c� ,-�� de---/---0C-e,
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ��
SHIPPING LABELS. %, /� ,r -
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194B TITLE .DI sSO Gf l�Cil1LG.Lv
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
q CLERK-TREASURER
DOCUMENT CONTROL NO. 318 Z 3 OFFICE COPY