32406 ontinental BroadbandCi
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
32406
THIS NUMBER MUST APPEAR ON INVOICES, ATP
VOUCHER. DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
. DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
811 312 01 4
Fiber Cross Connect Services
Continental Broadband LLC
VENDOR P.O. Box 645209
Pittsburgh, PA 15264-5209
SHIP
TO
Carmel Communications
Terry Crockett
3 Civic Square
Cannel, IN 46032
(317) 571 -2567
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE I
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43-404.00
3 Each Cross Connect- Fiber - Installation & Config
Send Invoice To:
City of Carmel
Terry Crockett
3 Civic Square
Carmel, IN 46032 -'
Project Change :Request: 39138.53010
PLEASE INVOICE IN DUPLICATE
$399.00
Sub Total:
$1,197.00
$1,197.00
DEPARTMENT
1202 Carmel 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.
DOCUMENT CONTROL NO. 32406
ORDERED BY
TITLE
PAYMENT
• 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.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPR ATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
$1,197.00
Director
CLERK - TREASURER
OFFICE COPY