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310900 04/28/17
G+q CITY OF CARMEL, INDIANA VENDOR: 368937 ONE CIVIC SQUARE SOUTHERN COMPUTER WAREHOUSE CHECK AMOUNT: 9"'""•.145.23" 4r CARMEL, INDIANA 46032 PO BOX 745102 CHECK NUMBER: 310900 ''''iroH ATLANTA GA 30374 CHECK DATE: 04/28/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4463201 100360 IN000418362 145.23 STAFF COMPUTER EQUIPM n > T « < < C) \ } / / � / 7 > k m % 2 \ 0 o ƒ 2 % I % � > o n 2 2 ƒ k< z 0 tj 2 4o w w \ § § q g C & _ \ �_ X / � 2n � 3 $ T.3 § CL 0 2 m OL �_ (n 2 2 0 m ® 2 CD '692 2 O / %E m | CD S - z > \ \ ;/ k ƒ ) § k $ g E 2 / CL ] / ® 0 3 i 6 x o 2 \ \ f ; R « CD CL / / § k 9 2 � (D . E - § > % / 8 / § k CD m Q U . / C \ / CL ID CL 0 _} 0 CL $ = 2 ƒ § » 3 a | o / ƒ %I § , m o , _ ; C CD \ ® m \ U) ; ■ � or 0 D \ \ \ \ c \ � 0 0) § 2 § m ƒ k C k 2 / § a D 2 0 Z » N I § B . ®� % ƒ c J CD�E S G / 0 D f& U) � D �/ £\ � / \ CD ;o» ƒ : � 0 2 R 7 ? / £ k §\ ƒ § CD # r C X /CD ' � § ) § 0 k / / CD / C / k § m X ] { © \ \ ( OL \f § _D g { & E C ® k Southern Computer Warehouse IN-000418362 Page 1 of 1 P.O. Box 745102 INVOICE Atlanta, GA 30374-5102 Phone: 770.579.8927 Federal Tax ID: 58-2214685 INVOICE NUMBER: IN-000418362 Remit to Billing@scw.com ORDERED DATE: 04-14-17 INVOICE DATE: 04-14-17 INVOICE DUE: 05-14-17 TERMS: NET30 CITY OF CARMEL 1 CIVIC SQ SHIP TO: CITY ENGINEERING OFFICE KLUSTIG CITY OF CARMEL PAYABLE ACCOUNTS 1 CIVIC SQ CARMEL, IN 46032 CITY ENGINEERING OFFICE KLUSTIG REF#100360 CARMEL, IN 46032 Your PO: 100360 Ref: 200013286.1.86009535 Cust # C05987 Item Quantity EA Price Amount MSF-PF3-00005 1 EA 145.23 145.23 Microsoft Surface Dock - for Pro 4 & Book - external power supply - 1 year warranty 0879335710574 FEDEX 061319671627517 P. S C�o7(e D 220 0 - 4 H lr 3 so% Freight: 0.00 Sales Tax: 0.00 Invoice Total: 145.23 v INDIANA RETAIL TAX EXEMPT Page 1 of 1 City - - - - ®lr CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER JL FEDERAL EXCISE TAX EXEMPT 100360 _ ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SUPS, (FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 4/14/2017 368937 SOUTHERN COMPUTER WAREHOUSE City Engineering's Office VENDOR PO BOX 745102 SHIP 1 Civic Square TO Carmel, IN 46032- ATLANTA,GA 30374- Kate Lustig PURCHASE ID BLANKET CONTRACT PAYMENTTERMS FREIGHT 14542 i QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department.' 2200 Fund., 201 Motor Vehicle Highway Account., 44-632.01 1 Each Staff Computer Equipment $145.23 $145.23 Sub Total $145.23 y_ t� Send Invoice To: City Engineering's Office Kate Lustig 1 Civic Square q Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNTAMOUNT PAYMENT $145.23 SHIPPING INSTRUCTIONS 'AtP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A 'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBU GATED 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 1945G� AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Jeremy Kashman TITLE Director CONTROL NO. 100360 CLERK-TREASURER