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•Cit of lariiiie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100759
ONE CIVIC SQUARE
35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
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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 r..
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9/29/2017 033825 Foxit Licenses
CDW GOVERNMENT INC Information Systems
VENDOR 75 REMITTANCE DR SHIP 3 Civic Square
SUITE 1515 TO Carmel, IN 46032-
CHICAGO, IL 60675--1515 Timothy Renick (317)571-2567
PURCHASE ID BLANKET 7 CONTRACT PAYMENT TERMS I FREIGHT
I
19323 `` EXTENSION
r QUANTITY l- UNIT OF
MEASURE DESCRIPTION UNIT PRICE
Department: 1202 Fund: 101 General Fund
Account: 44-632.02
5 Each 4801637 Foxit Phanton PDF Bus Lic $125.00 $625.00
5 Each 4801642 Foxit Phanton PDF Bus MNT+SUP $26.00 $130.00
Sub Total $755.00
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Send Invoice To: .;,4 e , . ,,,-,,,t,; .,
Information Systems (quote No.JGPW314 �; '
Timothy Renick ' .,, ,..r`,
3 Civic Square
Carmel, IN 46032-
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(317)571-2567 PLEASE INVOICE IN DUPLICATE
ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT
DEPARTMENT � J
PAYMENT $755.00
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 -
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 7
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick
TITLE Director
CONTROL NO. 100759 CLERK-TREASURER