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26635 AT&T INDIANA RETAIL TAX EXEMPT PAGE �� s ® Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 265 35-60000972 ONE CIVIC SQUARE 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 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 12199/2092 AT&T Termination AT&T. Carmel Communications VENDOR SHIP Terry Crockett PO Box 9900 TO 3 Civic Square Aurora, IL 605074900 Carmel, IN 46032 (31 7)571-2567 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-404.00 1 Each Termination fees/AT&T Centrex Contract $8,000.00 ''-•$8,000.00 Sub Total: $8,000.00 ØØJfJYN*4 Account 43-499.55 a f' 1 Each Termination fees/AT&T 0 eXonttact '•44 $4,000.00 $4,000.00 °;�• Sub Total: $4,000.00 t Ili 1 . ...... '' , tO' ,,,,,..,,,r0„,„,,,, y,c) © 110 7 Send Invoice To: 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 $12,000.00 • 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 AFFIDAVITyTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE ISANUNOBLIGATED BALANCE IN THIS APPROP•IATION SUFFICIENT TO PAY FO 1- A rAB5 E ORDER. •SHIP REPAID. //�� / •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ■ API /• •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. Director /#3E4......n•THIS ORDER ISSUED INCOMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 26635 OFFICE COPY