24620 MotorolaCi
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
24620
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
8118/2019
@ 'sue _-v•—•r--o_
VENDOR
Motorola
13108 Collections Center Drive
Chicago, IL 60693
SHIP
TO
Carmel Fire Department
2 Carmel Civic Square
Carmel, IN 46032
(317) 571 -2622
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
N
OUA
NTITV U OF MEASUREI\
Account 102-631.00
105 Each SINGLE BAND STUBBY ,ANTENNAS
Send Invoice To:
DESCRIPTION
UNIT PRICE
EXTENSION
NAR6595
Cannel Fire Department
2 Carmel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$13.00
Sub Total:
$1,385.00
$1,365.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT I AMOUNT
Carmel Fire Department
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.
24620
DOCUMENT CONTROL NO.
• PAYMENT
_,S1.365.00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS E P.O.
NUMBER I5 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 THE ABOVE ORDER.
ORDERED BY
TITLE 'cZkV
CLERK - TREASURER
OFFICE COPY