101765 GIBSON TEDATA INC CIit)rINDIANA RETAIL TAX EXEMPT Page 1 of 1
®f Iiiriiinie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101765
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
7/3/2018 366241
GIBSON TELDATA INC Clerk-Treasurer's Office
VENDOR PO BOX 3000 SHIP 1 Civic Square
TO Carmel, IN 46032-
TERRE HAUTE, IN 47803-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
27243
QUANTITY + UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Department: 1701 Fund: 101 General Fund
Account: 44-630.00
1 Each CONFERENCE PHONE GIBSON TELDATA $427.00 $427.00
Sub Total $427.00
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Send Invoice To: ' �
Clerk-Treasurer's Office
.,i
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $427.00
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 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 1945Q
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY _
Jacob Quinn
TITLE Deputy Clerk of City Business
CONTROL NO. 1 01765 CLERK-TREASURER