Loading...
HomeMy WebLinkAbout102684 HP INC CityINDIANA RETAIL TAX EXEMPT Page 1 of 1 ofCarmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 102684 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P 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 2/26/2019 127102 Harrington-Sutton HP INC. Fire Department VENDOR 13207 COLLECTION CENTER DRIVE SHIP 2 Civic Square TO Carmel, IN 46032- CHICAGO, IL 60693--3207 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 34154 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1120 Fund: 102 Ambulance Capital Fund Account: 44-632.01 2 Each 30175123 Configurable HPZ2 G4 Mini $1,673.00 $3,346.00 1 Each Quote 751728 $0.00 $0.00 • 1 Each State of Indiana Contract 13079 $0.00 $0.00 Sub Total $3,346.00 „---'('1;:;4'1' 9.1i.:.,...41,1:::S71,1;:ii;„:;,};;\ 4 i Send Invoice To: _ I.. Fire Department 4 w Carmel, IN 46032- , m 2 Civic Square PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT 9 PROJECT PROJECT ACCOUNT AMOUNT PAYMENT $3,346.00 SHIPPING INSTRUCTIONS *A/P 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 —�_ - .✓ ^ 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ' �'` �� �U AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Denise Snyder TITLE Budget&Accreditation Manager CONTROL NO. 102684 CLERK-TREASURER