102584 MOTOROLA SOLUTIONS it)T
INDIANA RETAIL TAX EXEMPT Page 1 of 1
C of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102584
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,ANP
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
1/29/2019 214002 Radio parts
MOTOROLA SOLUTIONS INC ICS
VENDOR 13104 COLLECTIONS CENTER DRIVE SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-.
CHICAGO, IL 60693- Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
33354
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 42-370.00
10 Each PMLN4651A Belt clip 2" . $8.03 $80.30
1 Each NMN6271A Impres XP RSM for APX w/dual Mic Noise suppression $237,25 $237.25
Sub Total $317.55
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Send Invoice To: . '3.w. . ,..... a _.M: .▪_.a. .,,
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Timothy Renick , �
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31 1st Avenue N.W. 4 1k v, �
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Carmel,IN 46032- a M 1 1
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $317.55
*ASP 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
'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 -----7-
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 `71
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY \I°
Timothy Renick
TITLE Director
CONTROL NO. 102584 CLERK-TREASURER