HomeMy WebLinkAbout26768 Bell Techlogix 1 City 0 INDIANA RETAIL TAX EXEMPT PAGE '
of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT (0-7 Q�
35-60000972 (�
ONE CIVIC SQUARE THIS NUM ER MUST APPEAR ON INVOICES,NP
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
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT i AMOUNT
PAYMENT(1 D r I-(44G Z ./
• 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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS AP PR TION SUFFI IE TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. •mil e' CT7
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE V
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY
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Bell Techlogix
4400 West 96th Street Date
Indianapolis, Indiana 46268 Nov 6, 2013 1:43 PM EST
United States
http://www.belltechlogix.com/ Doc#
C� 20103518 rev 1 of 1
Teehlogix
I C Description
MICR Cartridge
SalesRep
Wheeler,Tim
(P) 317-608-5879
(F) 317-608-5879
Customer Contact
Crockett,Terry
(P) 3175712567
tcrockett@carmel.in.gov
Customer Bill To Ship To
City of Carmel (1201825) City of Carmel City of Carmel
1 Civic Square Receivable, Account Crockett,Terry
Carmel, Indiana 46032 1 Civic Square 1 Civic Square
PO# PO#
Carmel, Indiana 46032 Carmel, Indiana 46032
Customer PO: Terms: Ship Via: •
None Undefined UPS Ground
Special Instructions: ;Carrier Account#:
;None None
., .�.t.x ,
HP
1 ROM ( fonts) - HP MICR Font-CompactFlash- for LaserJet 2410, 2420, 2430, 4240, 4250, 4345, HG283FS $255.33$510.66
4350, 5200,9040, 9050
As 9 ood or better than WSCA II pricing. Subtotal: $510.66
Shipping: $0
Total:$ 0.66
Availability is subject to change and is not guaranteed.
Quote is valid for 30 days or until the expiration of any / n
applied promotion, whichever is earliest.This quote is r y/
subject to review by Bell Industries before full acceptance. (/C/,/,
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