24572 CDW-G INDIANA RETAIL TAX EXEMPT PAGE \ �\ \City o C°�rme l CERTIFICATE NO.003120155 002 0
�i lVS li PURCHASE ORDER NUMBER I
FEDERAL EXCISE TAX EXEMPT 24572
35-60000972
ONE CIVIC SQUARE , w THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 Vin:, ', 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
3/2012014 ------_s--s. "- -.N .. •Q -.�
CDW-G Cannel Fire Department
VENDOR SHIP 2 Cannel Civic Square
TO
75 Remittance Drive Carmel, IN 46032 '
Chicago, IL 60675 (317)571-2622 .
CONFIRMATION BLANKET `CO\NTRACT PAYMENT TERMS FREIGHT
`
QUANTITY UNTOF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-500\41:
1 Each iKey BT-80-03 $322.42 $322.42
Sub Total: $322.42
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Send Invoice To: ',./` �
Cannel Fire Department
2 Cannel Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT. PROJECT PROJECT ACCOUNT AMOUNT
Carmel Fire Department PAYMENT $322.42
• 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. y _Y
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. ''�\�\ C
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY .g.\�O�L� C7.\��1.S .._3—V
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. e—�\��
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �-`s—�Qr ��t1,-\'(--
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. v
2457 2 CLERK-TREASURER v
DOCUMENT CONTROL NO. OFFICE COPY