32679 L-Com GlobalCity 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
32679
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
419/2015
Network Cabling Couplers
L - Com Global Connectivity
VENDOR
P.O. Box 55758
Boston, MA 02205 -5758
SHIP
TO
Carmel Communication Center
31 1st Ave NW
Carmel, IN 46032
(317) 571 -2576
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 42- 370.00
10 Each CAT 6 SHLD RJ45 Keystone CPLR TDG1026KS -C6
Send Invoice To:
Quote No. 9804551
Carmel Communication Center
31 1st Ave NW
Carmel, IN 46032-
DEPARTMENT
1115 Communications
PLEASE INVOICE IN DUPLICATE
$7.35
Sub Total:
$73.50
$73.50
ACCOUNT
PROJECT
PROJECT ACCOUNT
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. 32679 --
ORDERED BY
TITLE
PAYMENT
• 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 PAY FOR THE ABOVE ORDER.
AMOUNT
$73.50
- F Z1/6 ,
CLERK- TREASURER
'OFFICE COPY