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INDIANA RETAIL TAX EXEMPT Page 1 of 1
ofCarmel ; CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100656
6
ONE CIVIC SQUARE �_ 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
1 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
8115/2017 368012 Camera repair-116th/Monon Tunnel
SERVERSUPPLY.COM Communications
VENDOR 750 SHAMES DRIVE SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
, WESTBURY, NY 11590- (317)571-2576
PURCHASE ID BLANKET I CONTRACT PAYMENT TERMS 1 FREIGHT
18156
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 43-500.00
1 Each JG922A Repair to HP JG922A 1920-8G-POE+ $335.00 $335.00
Sub Total $335.00
Send Invoice To:
Communications Quote No. 3125365
31 1st Avenue N.W.
Carmel,IN 46032-
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT { _ ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $335.00
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 /_ — � 1
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ,� y �``�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick
TITLE Director 1
CONTROL NO. 100656 CLERK-TREASURER