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32038 System Solutions
d INDIANA RETAIL TAX EXEMPT PAGE City I ®f Carmel sanel CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 32038 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 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 61212014 Hard Drives System Solutions, Inc. Carmel Communications SHIP Terry Crockett VENDOR 526 Chauncy St TO 3 Civic Square Carmel, IN 46032 Carmel, IN 46032 - - - (317)571-2567 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT OUANTITY UNIT OF MEASURE DESCRIPTION . UNIT PRICE EXTENSION Account 44-632.01 1 Each Freighthandling $15.00 $15.00 12 Each WD Green Desktop 2TB 3.5"Internal hard drive SATA WO20EZRX $99.99 $1,199.88 Sub Total: $1,214.88 Nork • trt i�4►F .: ` ` Yrs, • Lu Send Invoice To: Quote No.1 570 - ° j1 © O'¢ City of Carmel Terry Crockett - 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1202 Carmel IS Dept. PAYMENT $1,214.88 • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0. 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 AN UNOBLIGATED BALANCE IN • SHIP REPAID. THIS AP ROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •CO.D.SHIPMENTS CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 7L1' SHIPPING LABELS. D• •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ANDACTSAMENDATORYTHEREOFANDSUPPLEMENTTHERETO. 3 2 0 3 8 CLERK-TREASURER DOCUMENT CONTROL NO. OFFICE COPY