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INDIANA RETAIL TAX EXEMPT Page 7f1:- .- . arifie
CERTIFICATENO.003120155 0020 PURCHASE ORDER NUMBER.:
FEDERAL EXCISE TAX-EXEMPT : -- •102084
ONE CIVIC SQUARE 35-6000972 .:. - THIS NUMBER MUST APPEAR ON INVOICES,AIP
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/- CARMEL;INDIANA 46032-2584
SHIPPING.LABELS AND ANY CORRESPONDENCE
RM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL=1997 •- • • -•
PURCHASE ORDER DATE 'DATE REQUIRED REQUISITION NO . . . VENDOR NO. .. :. .-. .:DESCRIPTION. . ... : . :.
. 10/2412018.-
369617 Cables
MONOPRICE INC ICS �\
VENDOR : PO BOX 740417 SHIP 31 1st-Avenue N.W.
:. : :. :•
: T .. Car mel,IN:46032- .:. :. .
• •
• LOS ANGELES,CA 90074-=0417 • Timothy Renick (317)571-2576
PURCHASE'.I'D BLANKET CONTRACT :; :: PAYMENT TERMS::: FREIGHT :::
. .30407 . . .- . . . . . . . . . .
QUANTITY ::• : : UNIT OF MEASURE:' .- - :-DESCRIPTION: UNIT PRICE . : EXTENSION.
Department: 1115 Fund: 101 General Fund;
Account:.42-390.13 .
- 25: Each-13360 .• : Select Series DisplayPort 1.2 Cable,6ft .• :• - • • - $2.99 :: :• $74.75
1 :Each : shipping :. :-: $9.99: . . : $9.99. :-:
• •• • Sub Total84.74
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Send Invoice.--To: .:
ICS
Timothy Renick• . .
31:1st Avenue-N.W.
Carmel,IN 46032- . .
(317)5714576 : PLEASE INVOICE IN-DUPLICATE
. DEPARTMENT . I .. :ACCOUNT: I PROJECT .. . .I .PROJECTACCOUNT I. . AMOUNT
PAYMENT .:. .•: $84.74
SHIPPING INSTRUCTIONS ... 'AIP 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
'-;IP PREPAID. • AFFIDAVIT ATTACHED..I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN: • •
' ` _r).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
TITLE ::
CONTROL NO. :1 02084 CLERK-TREASURER