101766 GIBSON TELDATA INC TAX
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Cit ®f 11Ia]r]nr]Ie1/ CERTDIIFICA EENO. 03 201 5M 02 0 PURCHASE ORDER'NUMBER
� FEDERAL EXCISE TAX EXEMPT 101766
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
• 7/9/2018 366241
GIBSON TELDATA INC Redevelopment Department
VENDOR PO BOX 3000 SHIP 30 W Main Street,Suite 220
TO Carmel, IN 46032-
TERRE HAUTE, IN 47803- Michael Lee (317)571-2788
PURCHASE ID I BLANKET CONTRACT PAYMENT TERMS FREIGHT
27334 I
QUANTITY { UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1801 Fund: 101 General Fund
Account: 43-509.00
1 Each MIT50006476 5320 Phone $233.90 $233.90
Sub Total $233.90
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Send Invoice To:
Redevelopment Department
Michael Lee F' e..
30 W Main Street,Suite 220 !
Carmel, IN 46032- 2-
(317)571-2788
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1_ ACCOUNT PROJECT 1 PROJECT ACCOUNT AMOUNT
PAYMENT $233.90
SHIPPING INSTRUCTIONS 'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
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 - '----� 7�� D
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY
Henry Mestetsky
TITLE
��CONTROL NO. 101766 CLERK-TREASURER