101552 RATH MICROTECH INDIANA RETAIL TAX EXEMPT Page 1 of 1
City ofiIarrrie1 CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER
JL FEDERAL EXCISE TAX EXEMPT 101552
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
4/4/2018 372344 Repair of circuit board
RATH MICROTECH ICS
VENDOR N56W24720 N.CORPORATE CIRCLE SHIP 31 1st Avenue N.W.
TO Carmel, IN .46032-:
SUSSEX,WI 53089- Timothy Renick. (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT.
24795
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department 1115 Fund: 101 General Fund
Account: 43-500.00
1 Each Circuit board repair $135.00. $135.00
1 Each shipping $18.25. $18.25
Sub Total $153.25
yrs
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Send Invoice To:
ICS x
Timothy Renick .
31 1st Avenue N.W. §, 4.i i`' .•e°„
Carmel, IN 46032- e: ' .� ,'' Y m,
(317)571-2576 - -:
PLEASE INVOICE IN DUPLICATE `
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $153.25
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.O.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 ``�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick \>\/YJ
TITLE Director
CONTROL NO. 101552 CLERK-TREASURER