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1,n„ CERTIFICATE NO.003120155 002 0
N PURCHASE ORDER NUMBER
U FEDERAL EXCISE TAX EXEMPT
55570
35-60000972
ONE CIVIC SQUARE
CA RM E L,IN DIA NA 460 32.-.256,4 THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER,DELIVERY 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
6/11/2021 06/12/21 25676 033825 Computer Equipment for Flowing Well Plumbing Chase
CDW Government Administration Office
75 Remittance Drive Ste 1515 1411 E. 116th Street
VENDOR Chicago, IL 60675-1515 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each CyberPower OR500LCDRMI U Smart App LCD UPS, $ 159.000 $ 159.00
500VA/300W, 6 Outlets, AVR, 1U Rackmount Black
1.000 each Tripp Lite 9U Wall Mount Rack Enclosure Cabinet $225.000 $225.00
GLAccount# 1125407-4235000
Send Invoice To:
$ 384.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Accounts Payable Coordinator
CONTROLLER
DOCUMENT CONTROL NO. 55570 V N ID 0 IR COIF Y