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INDIANA RETAIL TAX EXEMPT Page 1 of 1
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101136
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
12/14/2017 127102 HP Computer-HR
HP INC. Information Systems
VENDOR 13207 COLLECTION CENTER DRIVE SHIP 31 1st Ave.N.W.
TO Carmel, IN 46032-
CHICAGO, IL 60693--3207 Timothy Renick (317)571-2567
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21799
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1202 Fund: 101 General Fund
Account:44-632.01
1 Each U7897E HP 4 year Next Business Day Onsite Hardware support $10.00 $10.00
1 Each Y8C75AV HP EliteOne 800 G3 23 $1,140.00 $1,140.00
Sub Total $1,150.00
Send Invoice To:
Information Systems `Quote No. 11989231 Contract: IN-STATE OF INDIANA(13079).
Timothy Renick
31 1st Ave N.W.
Carmel, IN 46032-
(317)571-2567 PLEASE INVOICE E IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT N PROJECT ACCOUNT 1 AMOUNT
PAYMENT $1,150.00
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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
TimothyRenick
D
TITLE Director \ \,
CONTROL NO. 101 136 CLERK-TREASURER