101430 ARC ACQUISITION US INC a INDIANA RETAIL TAX EXEMPT Page 1 of 1
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®f I1airiiie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101430
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
2/23/2018 371648 Network Cable Coupler
ARC ACQUISITION US INC ICS
VENDOR PO BOX 731576 SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
DALLAS,TX 75373--1576 . Timothy Renick (317)571-2576
PAYMENT TERMS FREIGHT
PURCHASE ID BLANKET CONTRACT
23673
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 42-370.00
25 Each 5503-431 Network Cable Coupler $27.89 $697.25
Sub Total $697.25
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Send Invoice To: st
ICS Quote No.Q-164998
Timothy Renick
31 1st Avenue N.W.
Carmel, IN 46032=
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(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $697.25
SHIPPING INSTRUCTIONS 'NP 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
'SHIP PREPAID. 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 \V
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Janet Arnone
TITLE Admin Assistant V '
CONTROL NO. 101430 CLERK-TREASURER