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II i Carmelof CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100908
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
11/13/2017 371592 Winless Printer
AMAZON CAPITAL SERVICES Information Systems
VENDOR PO BOX 035184 SHIP 3 Civic Square
TO Carmel, IN 46032-
SEATTLE,WA 98124-5184 TimothyRenick
(317)571-2567
PURCHASE ID -BLANKET TCONTRACT PAYMENT TERMS FREIGHT
20622
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1202 Fund: 101 General Fund
Account: 44-632.01
1 Each HP Laserject pro Wireless printer $324.95 $324.95
Sub Total $324.95
Send Invoice To:
Information Systems
Timothy Renick
3 Civic Square
Carmel, IN 46032-
(317)571-2567 PLEASE INVOICE IN DUPLICATE_
DEPARTMENT ACCOUNT , PROJECT PROJECT ACCOUNT f AMOUNT
PAYMENT $324.95
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 UNO8LIGATED 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
Timothy Renick
TITLE Director
CONTROL NO. 100908 CLERK-TREASURER 1