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I1.itCity of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100454
� ONE CIVIC SQUARE L 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
5/17/2017 368937
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SOUTHERN COMPUTER WAREHOUSE Dept of Community Service
VENDOR PO BOX 745102 SHIP 1 Civic Square
TO Carmel, IN 46032-
1 ATLANTA,GA 30374-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
15403
L QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 44-632.01
1 Each Surface Pro $1,151.05 $1,151.05
Sub Total $1,151.05
Send Invoice To:
Dept of Community Service
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT J- ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT
PAYMENT $1,151.05
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 /jam !
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 /" f' --ORDERED BY 'w
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. —-
Mike Het �'`0\'\§\
TITLE Director 4
CONTROL NO. 100454 CLERK-TREASURER