102008 MOTOROLA SOLUTIONS INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cit37
of Cairinriiel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 02008
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
10/16/2018 368637 Radio-Moriarty Vehicle
MOTOROLA SOLUTIONS Fire Department
VENDOR 13104 COLLECTIONS CENTER DRIVE' SHIP 2 Civic Square
TO Carmel, IN 46032-
CHICAGO, IL 60693-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
30128
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-631.00
1 Each APX6500 700/800 Mobile Radio and Accessories per Quote $4,342.87 $4,342.87
#ms101618 001
Sub Total $4,342.87
i Z t'y $g M �1
cy$ c `
Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032- �
p PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $4,342.87
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 19451341
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY
Denise Snyder
TITLE Budget&Accreditation Manager �O
CONTROL NO. 102008 CLERK-TREASURER