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CERTIFICATE
FEDERAL EXCISE TAX EXEMPTO PURCHASE1RGOpOVV5�NUMBER
ONE CIVIC SQUARE 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
8/2312017 371891 Tablet Case
HP INC. Information Systems
VENDOR P.O. BOX 742881 SHIP 3 Civic Square
TO Carmel, IN 46032-
LOS ANGELES,CA 90074- Terry Crockett (317)571-2567
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
18340
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1202 Fund: 101 General Fund
Account: 42-302.00
1 Each A981282 Gumdrop Case for Tablet $52.42 $52.42
Sub Total $52.42
Send Invoice To:
Information Systems Quote Dated: 8/21/17 State of Indiana
Terry Crockett
3 Civic Square
Carmel, IN 46032-
(317)571-2567 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT ' AMOUNT
PAYMENT $52A2
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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY -—
Timothy Renick
TITLE Director
CONTROL NO. 100675 CLERK-TREASURER