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ity ofI1iurirnie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBE'
FEDERAL EXCISE TAX EXEMPT 100753
ONE CIVIC SQUARE 35-6000972—__ THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND
VANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION r Akg
9/26/2017 371503 Dock
PCMG, INC Information Systems
'VENDOR SHIP 3 Civic Square
FILE 55327 TO Carmel, IN 46032-
LOS ANGELES,CA 90074--5327 Timothy Renick (317)571-2567
PURCHASE ID BLANKET CONTRACT 1 PAYMENT TERMS FREIGHT
19279 I
QUANTITY 1 UNIT OF
MEASURE f DESCRIPTION UNIT PRICE EXTENSION
Department: 1202 Fund: 101 General Fund
Account: 44-632.01
1 Each 15808033 Elite 90W TB3 Dock $209.00 $209.00
Sub Total $209.00
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Send Invoice To: �- '
Information Systems \\\. uote No. B0506815
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Timothy Renick
3 Civic Square
Carmel, IN 46032- ,� ..
(317)571-2567 PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $209.00
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 0.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. 100753 CLERK-TREASURER