32153 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
32153
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
10116/2014
Radio Speaker Microphones
Motorola
VENDOR
369 Roxbury Lane
Noblesville, IN 46062
SHIP
TO
Cannel Communication Center
31 1st Ave NW
Cannel, IN 46032
(317) 571 -2576
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 42- 370.00
20 Each
20 Each
5 Each
10 Each
Send Invoice To:
RSM w/men down button RMN5038A
Rec Only Earpiece w/translucet tube RLN4941A
Ear Row w /coil CBL &3.5MM plug WADN4190B
Antenna 85052411)11
Quote No. 000000289069 0 K ..�0
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Carmel Communication Center
31 1st Ave NW
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$90.00
$43.50
$32.25
- $26.25
Sub Total:
$1,800.00
$870.00
$161.25
$262.50
$3,093.75
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. 32153
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT $3,093.75
• 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 ..AN- UNOBLIGATED BALANCE IN
THIS APPROPBIA • SUFFIQIQNT TD PAY FOR THE ABOVE ORDER.