24641 MotorolaCi
of C.lrme1
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
24641
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
1116/2014
a�...0
VENDOR
Motorola
13108 Collections Center Drive
Chicago, IL 60693
SHIP
TO
Cannel Fire Department
2 Cannel Civic Square
Carmel, IN 46032
(317)571 -2622
CONFIRMATION
BLANKET
CONTRACT PAYMENT TERMS
FREIGHT
`
QUANTITY UNIT OFMEA4UREI\
Account 102-631.
10
10
10
3
3
4
Each
Each
Each
Each
Each
Each
Send Invoice To:
DESCRIPTION
UNIT PRICE
EXTENSION
Rx Earpiece
RSM 'mores
Battery
17' Control Cable
02 Dash to 02 Remote
APX6000 Portable 3.
RLM6424B
HMN41018
N7037A
Cannel Fire Department
2 Carmel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$45.00
$137.00
$80.00
$43.50
$255.00
$2,698.00
Sub Total:
$450.00
$1,370.00
$800.00
$130.50
$765.00
$10,792.00
$14,307.50
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Carmel Fire Department
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• COD. 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.
24641
DOCUMENT CONTROL NO.
PAYMENT $14,307.50
• 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'T ERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATIOIWEUEF CIENT_TO PAY FOR THE ABOVE ORDER.
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY