32320 On-Ramp IndianaCi
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
32320
THIS NUMBER MUST APPEAR ON INVOICES, AVID
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
1 211 012 01 4
. WiFi Access Points.
On -Ramp Indiana
VENDOR 859 Conner Street
Noblesville, IN 46060
SHIP
TO
Carmel Communications
Terry Crockett
3 Civic Square
Carmel, IN 46032
(317) 571 -2567
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 44432.01
1 Each shipping
2 Each 2x Ubiquiti USUAP -AC Unifi AP 802.1lac
Send Invoice To:
City of Camel
Terry Crockett
3 Civic Square
Camel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$15.00
$340.00
Sub Total:
$15.00
$680.00
$695.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
1202 Carmel IS Dept.
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• co 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. 32320
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
• AP 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 APPROPRI' •N SUFFICIENT TO PAY FOR THE ABOVE ORDER.
$695.00