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INDIANA RETAIL TAX EXEMPTPage®- arms i CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
I FEDERAL EXCISE TAX EXEMPT 100916
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AP
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 00352760 Desktop-Chike
DELL MARKETING LP Information Systems
VENDOR C/O DELL USA LP SHIP 3 Civic Square
PO BOX 802816 TO Carmel, IN 46032-
, CHICAGO, IL 60680--2816 Timothy Renick (317)571-2567
PURCHASE ID T BLANKET I CONTRACT PAYMENT TERMS FREIGHT
20651
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1202 Fund: 101 General Fund
Account: 44-632.01
1 Each Dell 24 Monitor $390.30 $390.30
1 Each OptiPlex Desktop $1,079.32 $1,079.32
Sub Total $1,469.62
Send Invoice To:
Information Systems Quote No. 3000019344792.2
Timothy Renick
3 Civic Square
Carmel,IN 46032-
(317)571-2567 PLEASE INVOICE IN DUPLICATE
DEPARTMENT [ ACCOUNT 1- PROJECT PROJECT ACCOUNT AMOUNT I
PAYMENT $1,469.62
SHIPPING INSTRUCTIONS `AlP 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 --- - -
Timothy Renick e‘d
TITLE - Director CONTROL NO. 100916 CLERK-TREASURER
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