102096 GIBSON TELDATA INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
II ltCity of Germs/ CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102096
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
1 2M APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/13/2018 366241
GIBSON TELDATA INC Department of Law
VENDOR PO BOX 3000 SHIP 1 Civic Square
TO Carmel, IN 46032-
TERRE HAUTE, IN 47803 - Douglas C. Haney (317)571-2472
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
30913
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1180 Fund: 101 General Fund
Account: 44-631.00
1 Each Communication Equipment $1,456.00 $1,456.00
Sub Total $1,456.00
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Send Invoice To: { in
Department of Law ,
Douglas C. Haney
1 Civic Square
Carmel, IN 46032-
(317)571-2472 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ! ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $1,456.00
•NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
IP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
).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
Douglas Haney
TITLE Corporation Counsel \�
CONTROL NO. 102096 CLERK-TREASURER