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CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101059
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/12/2017 371184
VARIDESK LLC Department of Law
VENDOR P.O.BOX 842583. SHIP 1 Civic Square
TO Carmel, IN 46032-
DALLAS,TX 75284 Douglas C. Haney (317)571-2472
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21607
QUANTITY UNIT OF MEASUREX
DESCRIPTION UNIT PRICE::: :' EXTENSION
Department: 1.180. Fund: 101 General Fund
Account: 42-302.00
1 Each Varidesk Pro Plus 36 $395.00 $395.00
Sub Total $395.00
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Send Invoice To: .x
Department:of:Law.:
Douglas C. Haney.
1 Civic Square , ,,,t,:: .):::::::,:::,, ,,,,,
Carmel,IN .46032- _
(317)571-2472
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 6 ACCOUNT 1 PROJECT J PROJECT ACCOUNT AMOUNT
PAYMENT $395.00
SHIPPING INSTRUCTIONS *NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
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 _...t-
(L1-------„, —__7
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Douglas Haney _
TITLE Corporation Counsel
CONTROL NO. 101059 CLERK-TREASURER \"�