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C i ® I' Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31321
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
1112112013 Fax supplies
Electronic Strategies, Inc. Carmel Communication Center
VENDOR SHIP 31 9stAve NW
TO
6855 Hillsdale Court Carmel, IN 46032
Indianapolis, IN 46250 (317)571-2586
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION .UNIT PRICE C EXTENSION
Account 42-302.00
1 Each Lexmark,Black toner(fax) X463A21 G $145.00 $145.00
1 Each Lexmark,Photoconductor(fax) E260X22G $51.00 $51.00
,fir Sub Total: $196.00
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Send Invoice To: 140 _ �,,�i^
•
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• Carmel Communication Center
•
31 1st Ave NW
• Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT • AMOUNT
. Communications PAYMENT $196.00
• 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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
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•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE di-el-- l�� ,
AND ACTS'AMENDATORY THEREOF AND SUPPLEMENT THERETO.
•
CLERK-TREASURER
DOCUMENT CONTROL NO. 31321 OFFICE COPY .