31698 ServerSupply.com ���� INDIANA RETAIL TAX EXEMPT
PAGE
1 City t QQ....,,\�/ i f Carmel l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
" y FEDERAL EXCISE TAX EXEMPT
35-60000972 31698
ONE CIVIC SQUARE THIS NUMBER 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
2/2712014 HP DL380 G8 Power Supply
ServerSupply.com Inc. • Cannel Communications
SHIP Terry Crockett
VENDOR 750 Shames Drive TO 3 Civic Square !'
Westbury, NY 11590 Cannel, IN 46032
(317)571-2567
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION.'
Account 42470.00
•
2 Each HP-common slot power supply for ML350, DL380,DL388P G8 656363-B21 $180.00 $360.00
Sub Total: $360.00
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Send Invoice To: Quote No. 2321974
�.........�° SO
City of Cannel
•
Terry Crockett
3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT - ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1202 Carmel IS Dept PAYMENT $360.00
• NP 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 0 PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•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 ` . Director
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. .
DOCUMENT CONTROL NO. 31698 CLERK-TREASURER R •
OFFICE COPY