32662 AT&T 911 OperationsCi
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
32662
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED '
REQUISITION NO.
VENDOR NO.
DESCRIPTION
219/2015
Reverse 911 MSAG Extract •
AT&T - 9 -1 -1 Operations
VENDOR
P.O. Box 5080
Carol Stream, IL 60197 -5080
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 43- 419.55
1 Each Reverse 911 MSAG Extract
Send Invoice To:
City of Carmel
Terry Crockett
3_Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$350.00
Sub Total:
$350.00
$350.00
DEPARTMENT
1202 Carmel IS Dept.
• 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.
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
SHIPPING INSTRUCTIONS
DOCUMENT CONTROL NO. 32662
ORDERED BY
PAYMENT
$350.00
• A/P 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 APPROPRIATION SUFFICIENT TO - -FOR THE -ABOVE ORDER.
CLERK - TREASURER
OFFICE COPY