101215 GIBSON TELDATA INC INDIANA RETAIL TAX EXEMPT Page 1 of 1Cityof iIa]r]rne1PURCHASE
E
CERTIFICATE NO.003120155 002 0 PURCHA101215
SEoORDEIR�UMBER
FEDERAL EXCISE TAX EXEMPT II ''G2 ''.5
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1/2/2018 366241
GIBSON TELDATA INC Carmel Police Department
VENDOR PO BOX 3000 SHIP 3 Civic Square
TO Carmel,IN 46032-
TERRE HAUTE, IN 47803- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22114
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General:Fund
Account: 44-640.00
1 Each 50005711 Cordless DECT handset bundle $251.30 $251.30
Sub Total $251.30
Send Invoice To: 3/4'
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel,IN.46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $251.30
SHIPPING INSTRUCTIONS •NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. 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
•C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL 4\CD
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY _
Jim Barlow
TITLE Chief
CONTROL NO. 101215 CLERK-TREASURER