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I1t) of I2nrI1flIe1 t CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100365
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
I 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
4/17/2017 354053 Switch Power Supply
PROVANTAGE CORP Information Systems
VENDOR ACCTS REC SHIP 3 Civic Square
7576 FREEDOM AVE NW TO Cannel, IN 46032-
NORTH CANTON,OH 44720- Terry Crockett (317)571-2567
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
14631
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
L_
Department: 1202 Fund: 101 General Fund
Account: 44-632.01
2 Each HPE9OLW JD362B#ABA X361 150W AC PWR SUPP $258.00 $516.00
1 Each shipping $10.95 $10.95
Sub Total $526.95
Send Invoice To:
Information Systems Quote No.7272870
Terry Crockett
3 Civic Square
Cannel, IN 46032-
(317)571-2567 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT 1 PROJECT ACCOUNT AMOUNT
PAYMENT
$526.95
SHIPPING INSTRUCTIONS *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
*SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 19451- �(,a�-
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY -- `\
Terry CrockettN<X,
TITLE Director
CONTROL NO. 100365 CLERK-TREASURER