33115 Axis Communication,{o Carmel INDIANA RETAIL TAX EXEMPT
City of Ca]t 1} rin e II CERTIFICATE NO. 003120155.0020
1L u��y JL Q1t 11 11111E Jl FEDERAL EXCISE TAX EXEMPT
ONE CMC SOUARE [ 354000972
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
Page 1 of 1
PURCHASE ORDER NUMBER
33115
THIS NUMBER MUST APPEAR ON WNOICES, AR
VOUCtER DELMERV 'ARO, PACING SUPS,
SIPPING UBELS MID MN CORPCSPCi0ENCE
PURCHASE ORDER DATE I DATE REQUIRED REQUISITION
. NO
911812015
AXIS COMMUNICATIONS
VENDOR 300 APOLLO DRIVE
CHELMSFORD ,MA 01463 -
367021
0VENDOR
DESCRIPTION
SHIP
TO
Camera repair - Center GroeNVeterans Memor al
Communications
31 1st Avenue N.W.
Carmel, IN 46032-
(317) 571-2576
CONFIRMATION BLANKET CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY UNn OF MEASURE
DESCRIPTION
UNIT PRICE EXTENSION
Department: 1115 Account 43-500.00 Fund: 101 General Fund
1 Each Part # 0362-004 Camera repair for Model # Q6034 -E, 5114 00408cbf873a
Send Invoice To:
Communications
31 1st Avenue N.W.
Carmel, IN 46032 -
CST Case # 537611
PLEASE INVOICE IN DUPLICATE
51,190.00 51,190.00
Sub Total 51,190.00
DEPARTMENT '
ACCOUNT 1 PROJECT I PROJECT ACCOUNT 1 AMOUNT
$HIPPING INSTRUCTIONS
'SHP PREPAO.
'COD.SNIFMENT CANNOT BE ACCEPTED
'PU.ROIASE WIDER NUMBER MJST APPEAR ON ALL SHIPRNG LABEL 5
TH50RDERISSUED LN COMPLIANCE HITS CHAPTER PU, ACTS 1945
AND ACTS AMENDATORY THEREOF APO SISREMENT T t ERETO
DOCUMENT CONTROL N0. 33115
PAYMENT 51,190.00
' AP V� ERCNINOT 8E APPROVED FOR PAYMENT MUSS THE PO
NUMBER LS MADE A PART OF THE VOUCHER AND EVERY YNOCE ALA
VOUCHER HAS THE PROPER SWORN AFFIRM, ATTACHED.
• I HEREBY CERTIFY T11 TTHERE IS AH UNOBIIRTED BALANCE IN
H SUFFICES' TO PAY FOR THE ABOVE ORDER
ORDERED BY
TI E ,rector
CLERK -TREASURER