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ERTIFICATE NO.003120155 002
E ORDER
I CFEDERAL EXCISE TAX EXEMPT PURCH 100461
00 A4G6 1 UMBER
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
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
5/22/2017 00352419 HP E240 Monitors
BELL TECHLOGIX INC Information Systems
VENDOR PO BOX 823342 SHIP 3 Civic Square
TO Cannel, IN 46032-
PHILADELPHIA, PA 19182--3342 Terry Crockett (317)571-2567
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
15574
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1202 Fund: 101 General Fund
Account: 44-632.01
7 Each M1N99A8#ABA HP Elite Display E240 $174.00 $1,218.00
Sub Total $1,218.00
Send Invoice To:
Information Systems quote No. 20127815
Terry Crockett
3 Civic Square
Cannel,IN 46032-
(317)571-2567 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECTPROJECT ACCOUNT AMOUNT
PAYMENT $1,218.00
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 _
Terry Crockett / 4
TITLE Director •
CONTROL NO. 100461 CLERK-TREASURER