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Cityof Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100767
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
10/312017 033825
CDW GOVERNMENT INC Carmel Police Department
VENDOR 75 REMITTANCE DR SHIP 3 Civic Square
SUITE 1515 TO Carmel, IN 46032-
CHICAGO,IL 60675--1515 Blaine Mallaber
PURCHASE ID I BLANKET 1 CONTRACT PAYMENT TERMS FREIGHT
I
QUANTITY UNIT OF
MEASURE DESCRIPTION UNIT PRICE � EXTENSION J
Department: 1110 Fund: 101 General Fund
Account: 42-302.00
30 Each USB2HABM10 10ft USB 2.0 cable-USB A to mini B $3.25 $97.50
Sub Total $97.50
Send Invoice To:
Carmel Police Department Quote#JHFD098
Accounts Payable
3 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
�
- _ i AMOUNT
DEPARTMENT I ACCOUNT PROJECT C PROJECT ACCOUNT
PAYMENT $97.50
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 • s •
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY �"�
Jim Barlow Q
TITLE Chief \
CONTROL NO. 100767 CLERK-TREASURER _ -