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City of Carmel!. CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26786
35-60000972
ONE CIVIC SQUARE 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
4/5/2013 Fatpipe Annual Support
CDW Government, Inc. Carmel Communications
Terry Crockett
SHIP
VENDOR
75 Remittance Drive, Suite 1515 TO 3 Civic Square
-Chicago, IL 60675-1515 Carmel, IN 46032
(317)571-2567
CONFIRMATION BLANKET.. 1 CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE ,,, DESCRIPTION UNIT PRICE EXTENSION
Account 43-515.01
2 Each Fatpipe Gold Plus Annual support 1807325 $3,189.57 $6,379.14
. ,--,Sub Total: • $6,379.14
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Send Invoice To:
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City a Carmel
Terry Crockett
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE y
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT ' AMOUNT
Carmel IS Dept. PAYMENT $6,379.14
• 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 AFFIDAVITATTAGHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATE,(BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR TH. F-
,�O ORDER.
•SHIP REPAID. /
• •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY „� .. -
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Direct. J - of '
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ..
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ....
DOCUMENT CONTROL NO. 26786 CLERK-TREASURER
OFFICE COPY