27699 Otto Engineering INDIANA RETAIL TAX EXEMPT PAGE
City of Carmel CERTIFICATE 140. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 27699
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO. PACKING SLIPS.
CARMEL, INDIANA 46032 -2584 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 i
5110/2012
Otto Engineering Carmel Communication Center
SHIP
VENDOR 311stAveNW
TO
2 East Main Street Cannel, IN 46032
Ca ntersville IL 60110 31 571-2586
CONFIRMAfON BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION I UNIT PRICE I EXTENSION
Account 43- 509.00
20 Each Audio Tube and Tip Clear C101199 $6.58 $131.60
20 Each Flexible Open Ear Insert Left C806573-LM $7.61 $152.20
20 Each Flexible Open Ear Insert Lett $7.61 $152.20
20 Each Earphone kit Shag l Plug Coil 1 r 37, Sa6 s766-06 7
10 Each Storm Mic t T! f/S �j0 4$4•281130 $7 2
So Sub Total:
4. .i,
t... ii
stoii.. O�
Send Invoice To: J
Carmel Communication Center
311st Aye NW
Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT 1 PROJECT 1 PROJECT ACCOUNT 1 AMOUNT
PAYMENT X
Communications A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UN SS E P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY VOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTAC 0.
SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY TH• THERE IS AN UNOBLIGATED CE IN
THIS APPROPRIATO•' UFF• ••YFOR TH :OVE ORDER.
I SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY iv AO.
PURCHASE ORDER NUMBER MUSTAPPEAR ON ALL IV
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1845 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 2 7 6 9 9 VENDOR COPY