102128 VERIZON WIRELESS INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Carrriel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102128
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
11/19/2018 00350980 iPads-EMS
VERIZON WIRELESS Fire Department
VENDOR P.O. BOX 25505 SHIP 2 Civic Square
TO Carmel, IN 46032-
LEHIGH VALLEY, PA 18002--5505
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31176
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-632.01
1 Each Bill To: Account#980946612-00001 $0.00 $0.00
10 Each iPad 9.7(6th Generation)128GB Reg. Price 559.99,Sale $409.99 $4,099.90
$409.99
1 Each Price Plan -20316 New PS/First Responder MBB-$29.99 $0.00 $0.00
Sub Total $4,099.90
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Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $4,099.90
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.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL z_--
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ' ' '' " u_.r
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ---
Denise Snyder
TITLE Budget&Accreditation Manager \\
CONTROL NO. 102128 CLERK-TREASURER \`�