HomeMy WebLinkAbout100390 CDW GOVERNMENT INC INDIANA RETAIL TAX EXEMPT9
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ciCity of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 00390
ONE CIVIC SQUARE 35-6000972 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
4/28/2017 033825 Scanners for Billing and AHACTC
CDW GOVERNMENT INC Fire Department
'VENDOR 75 REMITTANCE DR SHIP 2 Civic Square
SUITE 1515 TO Carmel, IN 46032-
CHICAGO,IL 60675--1515
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
14889
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE 1 EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-632.01
2 Each Epson DS-530 Scanner $314.06 $628.12
1 Each Shipping $30.00 $30.00
Sub Total $658.12
Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT p PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $658.12
SHIPPING INSTRUCTIONS `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
*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 1945 ,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY
Denise Snyder
TITLE Budget&Accreditation Manager
CONTROL NO. 100390 CLERK-TREASURER 1�