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INDIANA RETAIL TAX EXEMPT Page 1 of 1 11
of 'l CERTIFICATE NO.003120155 002 0PURCHASE ORDER NUMBEER
�J �IIa]riIie1 FEDERAL EXCISE TAX EXEMPT 33520 %
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ONE CIVIC SQUARE L 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
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[PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 1
1/5/2017 00352419
BELL TECHLOGIX INC Carmel City Court
VENDOR PO BOX 823342 SHIP 1 Civic Square
TO Carmel, IN 46032-
PHILADELPHIA, PA 19182--3342 1
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PURCHASE ID
BLANKET CONTRACT I PAYMENT TERMS FREIGHT
I 11649
' QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Department: 1301 Fund: 502 Record Perpetuation Fund
Account: 44-632.01
1 Each Workstation $952.75 $952.75
Sub Total $952.75
Send Invoice To:
Carmel City Court
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT L ACCOUNT y PROJECT PROJECT ACCOUNT 1 AMOUNT
PAYMENT $952.75
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 1945 Ba` �' r d exter
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY —---
Brian Poindexter
TITLE Judge
CONTROL NO. 33520 CLERK-TREASURER