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City of IIanrirriie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100804
ONE CIVIC SQUARE 1 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
10/3/2017 033825 Scanner-Safety/Training Chief
CDW GOVERNMENT INC Fire Department
VENDOR 75 REMITTANCE DR SHIP 2 Civic Square
SUITE 1515 TO Carmel, IN 46032-
CHICAGO,IL 60675--1515
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
19458
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-632.01
1 Each Epson DS-530 Scanner $323.64 $323.64
Sub Total $323.64
Send Invoice To:
Fire Department
2 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
I_ DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $323.64
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 - - - q
Denise Snyder \
TITLE Budget&Accreditation Manager ,%
CONTROL NO. 100804 CLERK-TREASURER i,