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31761 Toshiba Business Systems C 1111 1111 (\\./i City ®f° /�1 sane l INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE N0.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 31761 35-60000972 . 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 3/12/2014 Toshiba Business Systems SHIP City of Carmel VENDOR 12650 Hamilton Crossing Blvd. To Mayor' s Office Suite 100 One Civic Square Carmel , IN 46032 Carmel, IN 46032 CONFIRMATION BLANKET 'CONTRACT PAYMENT TERMS FREIGHT 'QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 2014 Copier - Toshiba $6 ,500 .00 Lease, Maintenance Contract, Copy Overage • J • O�1 � o[. 2q O 11 lic � � LL0A: * • lie 01� Send Invoice To: *lf O "" © -, 1100/4353004 jj $6 ,500 .00 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT • PAYMENT • 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 -•PER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTI •AT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRI• •N S FFICIENT TO PAY FOR THE ABOVE ORDER. • SHIP REPAID. G •COD.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /I •PURCHASE ORDER NUMBER MUST APPEAR ON ALL / 111 SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 31761 OFFICE COPY