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City o f CI1iiriririe1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101746
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
6/20/2018 127102 Printer for Mayor's office
HP INC. ICS
VENDOR 13207 COLLECTION CENTER DRIVE SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
CHICAGO, IL 60693--3207 Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
26936
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 44-632.01
1 Each CF360X HP 508X High yield black toner $174.74 $174.74
1 Each CF361X HP 508X High yield Cyan toner $241.49 $241.49
1 Each CF363X HP 508X High yield Magenta toner $241.49 $241.49
1 Each CF362X HP 508X High yield Yellow toner $241.49 $241.49
1 Each B5L25A#BGJ HP Color LaserJet Enterprise printer $627.48 $627.48
Sub Total $1,526.69
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ICS 'Quote No. 12251233, Contract IN-State of Indiana(13079)
Timothy Renick ''
31 1st Avenue N.W.
Carmel, IN 46032- ' ,,
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT
PAYMENT $1,526.69
'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
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 ;:"
$9
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
(X..?'4
Timothy Renick
TITLE Director
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CONTROL NO. 101746 CLERK-TREASURER