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INDIANA RETAIL TAX EXEMPT Page 1 of I
Citity CofCariiiel CERTIFICATE NO.003120155 002 0_ PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101912
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 22
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Vv
9/4/2018 371503 - UPS
PCMG, INC ICS
VENDOR SHIP 31 1st Avenue N.W.
FILE 55327 TO Carmel, IN 46032-
LOS ANGELES, CA 90074--5327 Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT . .
29015
QUANTITY .: UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 44-670.99
3 Each 40109726 Backup UPS $49.99 $149.97
Sub Total $149.97
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Send Invoice To: ` ;..�' ' tkµL !
ICS Quote No. 80948579 "
Timothy Renick
31 1st Avenue N.W. #
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Carmel, IN 46032- ^
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT . i PROJECT PROJECT ACCOUNT ... . AMOUNT-
PAYMENT $149.97
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 UNOBUGATED 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
.7---� I
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. • ORDERED BY
Timothy Renick
TITLE Director
CONTROL NO. 101912 CLERK-TREASURER