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ito-.f C"l',,rm(el CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 106458
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 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
4/15/2022 127102
HP INC. Brookshire Golf Course
VENDOR 13207 COLLECTION CENTER DRIVE SHIP 12120 Brookshire Pkwy.
TO Carmel, IN 46033-
CHICAGO, IL 60693--3207 Pamela Lister (317)846-7431
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
65063
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1207 Fund: 101 General Fund
Account., 44-632.00
1 Each Contract OMNIA-OMNIA PARTNERS PC(R210403) $0.00 $0.00
2 Each HP Computer Equipment $17081.60 $27163.20
Sub Total $27163.20
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Send Invoice To:
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Brookshire Golf Course
Pamela Lister 'f
12120 Brookshire Pkwy.
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Carmel, IN 46033- 1.1e,
(317)846-7431 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $23163.20
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 LABE
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 `' -- '
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Bob Higgins
TITLE General Manager/Superintendent
CONTROL NO. 106458 CONTROLLER