24635 Matrix Integrationof 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
2A4-4
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 NOT
DESCRIPTION
1 lor12014
v\
C�� <,\`��.,,o v�\-��`�a-
VENDOR
Matrix Integration
Valerie Lange
417 Main Street
Jasper, IN 47546
SHIP
TO
Carmel Fire Department
1 Cannel Civic Square
Cannel, IN 46032
f�171f71 7'2
CONFIIRRMA
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
\nON
v
v\
QUANTITY
UNIT OF MEASURE \
DESCRIPTION
UNIT PRICE
EXTENSION
Account 102:631•
1 Each State of Indiana Contract #13079
1 Each HP Switiching - V1910 -24G -POE 365W
Switch
1 Each HP Location ID# 10025751
Send Invoice To:
JE007ASMA.BA
Cannel Fire Department
1 Cannel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$0.00
$529/6
$0.00
Sub Total:
$0.00
$529.76
$0.00
$529.76
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Cannel 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.
24635
DOCUMENT CONTROL NO.
PAYMENT t
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THAW29 -76
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 THE ABOVE ORDER.
ORDERED BY 5–` dN‘t— –�
~ _■,_ " .\
U
TITLE
CLERK- TREASURER
OFFICE COPY
I