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33075 Toshiba Financial Services
INDIANA RETAIL TAX EXEMPT PAGE City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 33075 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 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. . DESCRIPTION 6/16/2015 Toshiba Financial Services City of Carmel NDOR P. 0. Box 79044,8 SHIP VE Mayor' s Office St. Louis, MO 63179-0448 TO One Civic.-Square , Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 2015 Lease on Toshiba Copier per Agreement $6 ,500 .00 'if 174r- 0.11--e . ,.,‘ ''kk . 0 4) • ' d 0� x„,;:. //A4, , 'tliquirk1;\ z.Q. 9, gigp .••°.° °� Send Invoice To: O ' Ni © 10,7' 1160/4353004 $5,500.00 I PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT 'PROJECT ACCOUNT AMOUNT PAYMENT • 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. I SHIPPING INSTRUCTIONS '• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIA,ON SU,FIG1ENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. 1 •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY .l SHIPPING LABELS U. \. �• •THIS ACTS AMENDATORY IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE [4)h'"1 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. i CLERK-TREASURER DOCUMENT CONTROL NO. OFFICE COPY