101531 GIBSON TELDATA INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
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of Carmel CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101531
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
1FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
I
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
h 3/22/2018 366241
1 GIBSON TELDATA INC Human Resources
VENDOR PO BOX 3000 SHIP 1 Civic Square
1 TO
Carmel, IN 46032-
1 TERRE HAUTE, IN 47803-
PURCHASE ID I BLANKET CONTRACT PAYMENT TERMS FREIGHT
I 24411
I
QUANTITY 1 UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1201 Fund: 101 General Fund
Account: 44-640.00
1 Each Office Equipment $175.00 $175.00
Sub Total $175.00
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Send Invoice To: %, '' ,_1,:'',T: ...� .... .:1, .�;_..<,:.. ,. ..tw :
Human Resources ', '
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1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
I DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $175.00
'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
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 7.A....--1--v.... 7:12),_0,---.1"-- 1.7
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY --
Barbara Lamb �ej�(
TITLE Director
CONTROL NO. 1 01 531 CLERK-TREASURER