102165 SEEBEAM LLC INDIANA RETAIL TAX EXEMPT Page 1 of 1
Chit of IInrinrie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
((„ FEDERAL EXCISE TAX EXEMPT 102165
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
11/29/2018 372965 Transceivers
SEEBEAM LLC ICS
VENDOR 17437 CAREY RD#182 SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
WESTFIELD, IN 46074- Timothy Renick (317)571-2576
PURCHASE ID I BLANKET CONTRACT PAYMENT TERMS FREIGHT
31372
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 44-631.00
12 Each J9151D SFP+transceiver Modules $55.00 $660.00
Sub Total $660.00
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Send Invoice To: r !
ICS }�g ''Quote No. 2700 wF'
Timothy Renick
31 1st Avenue N.W.
A,
Carmel, IN 46032-
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $660.00
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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick \\
TITLE Director YYY
CONTROL NO. 102165 CLERK-TREASURER