26638 Gibson Teledata Inc. INDIANA RETAIL TAX EXEMPT PAGE
City ®� C.irmel CE RTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
. FEDERAL EXCISE TAX EXEMPT
35-60000972 26638
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
12119/2012 Mitel IP Phones
Gibson Teledata Inc. Carmel Communications .._.
VENDOR SHIP Terry Crockett
P.O..Box 3000 TO 3 Civic Square
Terre Haute, IN 47903 Carmel, IN 46032
(317)571-2567
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44-632.01
20 Each 5320E IP Set $297.00 $5,940.00
1 Sub Total: $5,940.00
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Send Invoice To:
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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 $8,940.00
• 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 AFFIDAVIT ATI".CHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGAT S BALANCE IN
•SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR , �=E ORDER. /
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY _�� ✓ led , ^ ,
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ,1pr SHIPPING LABELS. - / f
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Director
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 26638 OFFICE COPY