HomeMy WebLinkAbout102787 HP INC City ((� INDIANA RETAIL TAX EXEMPT Page 1 of 1
(o Ia]r]r]IT1Ie1
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
�j FEDERAL EXCISE TAX EXEMPT 102787
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
4/9/2019 127102 Gugel
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
35274
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-632.01
1 Each Configurable HP Elite x2 1013 G3 Series Tablet IDS per $1,347.00 $1,347.00
Quote 732110
1 Each State.of Indiana Contract 13079 $0.00 $0.00
Sub Total $1,347.00
Send Invoice To: p� ,
Fire Department _
2 Civic Square
Carmel, IN 46032- .., •
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $1,347.00
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 _
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder
TITLE Accreditation Budget Administrator
CONTROL NO. 102787 CLERK-TREASURER