101528 GIBSON TELDATA INC v INDIANA RETAIL TAX EXEMPT Page 1 of 1
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of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101528
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
3/21/2018 366241 Software Assurance 5 months
GIBSON TELDATA INC ICS
VENDOR PO BOX 3000 SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
TERRE HAUTE, IN 47803- Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
24394
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 43-440.00
1 Each Mitel Solution software Assurance 5 months $10,052.00 $10,052.00
Sub Total $10,052.00
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Send Invoice To: , „ryr:� . « .. �,,.. ._
ICS ' 1,,'L3,t'Quote dated: 3/20118 ,1 a
Timothy Renick /
31 1st Avenue N.W.
Carmel, IN 46032- 8 £ t
(317) 571-2576 'PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT 9 PROJECT PROJECT ACCOUNT 1 AMOUNT
PAYMENT $10,052.00
SHIPPING INSTRUCTIONS PART
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.0 D,SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL —'- _ �,� ��
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 `�`� - �—v c-�.e_-
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick James Crider
TITLE Director Administration
CONTROL NO. 101528 CLERK-TREASURER f 0