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City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102172
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL,INDIANA 46032-2584 VOUCHER,DEUVERY 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
11/30/2018 371503 Single Channel-Ethernet
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
I PURCHASE ID—1 BLANKET I CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY ( UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 42-370.00
3 Each 40669621 Single Channel-Ethernet Shielded $50.00 $150.00
Sub Total $150.00
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Send Invoice To:
ICS `Quote No. B1044840
Timothy Renick
31 1st Avenue N.W. ' '7`
Carmel, IN 46032-
(317)571-2576 PLEASE INVOICE IN DUPLICATE
[ DEPARTMENT ACCOUNT 1 PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $150.00
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
'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 ��
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'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ../
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
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Timothy Renick
TITLE Director \t4\
CONTROL NO. 102172 CLERK-TREASURER