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City of i1airiiinie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100641
ONE CIVIC SQUARE j 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
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
8/1012017 127102 Harrington Tower
HP INC. Fire Department
VENDOR 13207 COLLECTION CENTER DRIVE SHIP 2 Civic Square
TO Carmel, IN 46032-
CHICAGO, IL 60693--3207
PURCHASE ID BLANKET 1 CONTRACT PAYMENT TERMS FREIGHT
18047 1
QUANTITY 1 UNIT OF MEASURE DESCRIPTION j UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-632.01
1 Each L8T14AV Configurable HPZ240 SFF Workstation $1,730.00 $1,730.00
1 Each Quote 11802257 $0.00 $0.00
1 Each State of Indiana Contract 13079 $0.00 $0.00
Sub Total $1,730.00
Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032-
INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT - - PROJECT i_ PROJECT ACCOUNT 1 AMOUNT j
li
PAYMENT $1,730.00
*A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS 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. 100641 CLERK-TREASURER