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--\I ® /� Carmel INDIANA RETAIL TAX EXEMPT PAGE
,Jlr CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
. FEDERAL EXCISE TAX EXEMPT 26641
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P.
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
URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/1912012 Fiber Cross Connects
nFrame Carmel Communications -
Terry Crockett
VENDOR . SHIP
701 Congressional Blvd, Ste 100 To 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
(317)571-2567
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.419.55
4 3 Each Professional Sys to provide Cross connects $199.00 $597.00
Sub Total: $597.00
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Send Invoice To: `', 4#
City of Carmel
Terry Crockett
'3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel IS Dept. PAYMENT $597.00
• A/P 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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS A IJNOBLIGATED BALANCE IN
THIS APPROPRjAAI.N SUFFICIENT 0 PAY FOR THE ABOVE ORDER.
•SHIP REPAID. J
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY .f/A/
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. ; •'rector
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 2 6 6 41 OFFICE COPY