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L1_. itT ®f . airnrie! CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100778
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
10/10/2017 371891 HP Monitors and speaker bars
HP INC. Information Systems
jVENDOR P.O.BOX 742881 SHIP 3 Civic Square
TO Carmel, IN 46032-
LOS ANGELES,CA 90074- Timothy Renick (317)571-2567
PURCHASE ID I BLANKET 1 CONTRACT 1 PAYMENT TERMS FREIGHT
19675 t
i
— --
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE 1 EXTENSION
Department: 1202 Fund: 101 General Fund
Account: 44-632.01
4 Each M1P02AA#ABA HP Elite Display E242 Monitor $201.00 $804.00
4 Each NQ576AA HP LCD Speaker Bar $15.00 _ $60.00
Sub Total $864.00
Send Invoice To:
Information Systems Quote No. 11890885 Contract: IN-State of Indiana(13079)
Timothy Renick
3 Civic Square
Carmel, IN 46032-
(317)571-2567 PLEASE INVOICE IN DUPLICATE
1 DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT IiAMOUNT
PAYMENT $864.00
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 ���'��=�'��
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY - - -- v\
Timothy Renick
TITLE Director \Q
CONTROL NO. 100778 CLERK-TREASURER