32043 Global Govtchi
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
32043
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
712/2014
Communications Equipment
Global Gov't/Ed Solutions Inc.
VENDOR
P.O. Box 935311
Atlanta, GA 311934311
SHIP
. TO
Camel Communication Center
31 1st Ave NW
Cannel, IN 46032
(317) 571 -2576
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
DUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
Account 44431.00
2 Each
10 Each
2 Each
1 Each
J5 Create JUA 250 USB 2.0 HDMI Display adapter .1515 -5006
Belkin Micro Car Charger B20 -4650
Belkin MIXIT Car Charger B20 -4634
SHIPPING
1tim t Alo
Send Invoice To:
Cannel Communication Center
31 1st Ave NW
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$64.00
$9.00
$19.50
$15.62
Sub Total:
EXTENSION
$128.00
$90.00
$39.00
$15.62
$272.62
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
1115 Communications
• SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 32043
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
• 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.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THHE ABOVE ORDER.
4 2•0(4, C«._
$272.62