101730 GIBSON TELDATA INC v INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of IIairiiinie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101730
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
6/13/2018 366241 Replacement Phones EOC
GIBSON TELDATA INC Fire Department
VENDOR PO BOX 3000 SHIP 2 Civic Square
TO Carmel, IN 46032-
TERRE HAUTE, IN 47803-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
26655
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-631.00
3 Each 5340 Telephone $322.40 $967.20
1 Each Shipping $40.00 $40.00
Sub Total $1,007.20
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Send Invoice To: ‘ ; .` + -.-7-.,7-f,':-.-',1,:-.,._......
Fire Department N, , q
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2 Civic Square � , „ 1.
Carmel, IN 46032- �
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
• PAYMENT $1,007.20
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 --.,, �w
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194Ns.5 h.,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder nI
TITLE Budget&Accreditation Manager `.D
CONTROL NO. 101730 CLERK-TREASURER