101803 ARC ACQUISITION US INDIANA RETAIL TAX EXEMPT Page 1 of 1
ci:it'v o-f CIiriiie]I CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101803
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AR
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
7/19/2018 371648 Camera repair parts
ARC ACQUISITION US INC ICS
VENDOR PO BOX 731576 SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
DALLAS,TX 75373--1576 Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
27705
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 42-370.00
4 Each 5901-004 T8154 60W SFP Midspan $175.20 $700.80
Sub Total $700.80
3.'b 1� C•:l
p 'i
@x-
•
1
s
� � 4
,-''i
L
y 3 � ,
,,.,
Send Invoice To:
ICS '' '''Quote No.Q-165295
Timothy Renick " , ,,-
31 1st Avenue N.W.
Carmel, IN 46032-
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT —1 PROJECT ACCOUNT W AMOUNT
PAYMENT $700.80
SHIPPING INSTRUCTIONS 'A/P 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 A
.ITITLE DirectorCONTROL NO. 101803 CLERK-TREASURER