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®� II2i1riIIiiIe1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100749
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ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AFD ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 ,
IPURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
I
IlL 9/25/2017 033825II Hard Drive
CDW GOVERNMENT INC Communications
VENDOR 75 REMITTANCE DR SHIP 31 1st Avenue N.W.
SUITE 1515 TO Carmel, IN 46032-
CHICAGO, IL 60675--1515 (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
19266
- T 1 U- -- --- - a
QUANTITY 1 UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 42-370.00
1 Each 4007705 WD-Gold Datacenter Hard Drive $189.63 $189.63
Sub Total $189.63
‘ek'' (3 F Calln:44pN1/4
Send Invoice To:
Communications uote No.JGSS493
---,'"'" /
4,*--- ta IX
31 1st Avenue N.W.
Carmel, IN 46032- -I_. '
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT _AMOUNT
PAYMENT -------- --- $189.63
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 UNOBUGATED 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 �I
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick
TITLE Director
CONTROL NO. 100749 CLERK-TREASURER