HomeMy WebLinkAbout33074 CDW GovernmentCity of Carmel
ONE CIVIC SQUARE
CARMEL. INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL. TAX EXEMPT
CERTIFICATE NO. 003120165 002 0
FEDERAL EXCISE TAX EXEMPT
35-6000972
Page 1 o11
PURCHASE ORDER NUMBER
33074
TMS NUMBER MUST APPEAR ON LWGCiS. AP
VOUCHER WINERY MEMO. PACKING SUPS.
SHPRNG LABELS AND ANY CORRESPONDENCE
(PURCHASE ORDER DATE DATE REQUIRED 1 REOUISIT,ON NO.
8/11/2015
COW GOVERNMENT INC
VENDOR 75 REMITTANCE DR
SUITE 1515
CHICAGO , IL 60675--1515
VENDOR NO. f
033825
OESCRIPRON
SHIP
TO
Communications
31 1st Avenue N.W.
Cannel, IN 46032-
(317) 571-2576
1CONRRmATION BLANKET CONTRACT
PAYMENT TERMS
FREIGHT
1 QUANTITY UNIT OF MEASURE I DESCRIPTION
Department: 1115 Account: 43-500.00 Fund: 101 General Fund
1 Each 2844139 Hard Drive
Send Invoice To:
Communications
31 1st Avenue N.W.
Cannel, IN 46032-
X140 /_ Af0 , Ci"/1'c... ✓fid
UNIT PRICE I EXTENSION
5164.88
Sub Total
5164.88
PLEASE INVOICE IN DUPLICATE
[
PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT 5164.88
' AP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P 0.
NUMBERS WEE A PART CF THE VOUCHER AND EVERY LWOCE J40
VOUCHER HAS THE PROPER S,SV l AM:DAVIT ATTAOEO
. I HEREBY CERTIFY THAT PERE IS AN UNOBUGATED MANCE IN
THIS APPROPRUT1CI SLFFOE: 0 PAY FOR THE ABOVE ORDER
DEPARTMENT
ACCOUNT
SHIPPING INSTRUCTIONS
'Sne PREPAID
'COD.SHPMENT CMUNDI BE ACCEPTED.
'PURCHASE DITHER NUMBER MUST APPEAR ON ALL SHIPRNG LABELS.
'THS ORDER ISSUED W COMPLIANCE NTH CHAPTER 99. ACTS 19x3
AND ACT$ AMENDATORY HEREOF AND SURtEMLNT THERETO
DOCUMENT CONTROL NO. 33074
5164.88
TITLE �IN�f
CLERK -TREASURER O
ORDERED BY