32403 ProvantageCi
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
32403
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
811112014
Spare SAS Cables
ProVantage
VENDOR 7249 Whipple Avenue NW
North Canton, OH 447204143
•
CONFIRMATION
SHIP
TO -.
Cannel Communications
Terry Crockett
3 Civic Square
Cannel, IN 46032
(317) 571-2567
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 42370.00
1 Each shipping
4 Each Ext miniSAS HD to MiniSAS Cable 2.OM 716191 -B21
Send Invoice To:
City of Carmel
Terry Crockett
3 Civic Square
Cannel, IN 46032-
Quote No. 639$070
PLEASE INVOICE IN DUPLICATE
$5.00
$99.00
Sub Total:
„N
$5.00
$396.00
$401.00
DEPARTMENT
1202 Cannel IS Dept.
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
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.
II DOCUMENT CONTROL NO. 32403
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT 5401.00
• 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.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APP:OPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
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