24589 HP Cif of Carmel INDIANA RETAIL TAX EXEMPT 155 00 PAGE
11 of (lam/ CERTIFICATE NO.003120155 002 0 N \
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 24589
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AR
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKWG 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
51142014 C•o., � 0-..S
HP Carmel Fire Department
VENDOR TOHIP, 2 Cannel Civic Square
' PO Box 73286 Carmel, IN 46032
Chicago, IL 60673 (317)571-2622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY UNIPQF MEASURE.‘ DESCRIPTION UNIT PRICE EXTENSION
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Account 102-632.01
10 Each Computers $461.00 $4,610.00
Each Based on WSCA I I Contract M327184 •
' Sub Total: $4,610.00
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Send Invoice To:
Carmel Fire Department
2 Carmel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Fire Department PAYMENT $4.610.00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.D.
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.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ��\\
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
ORDERED BY ��,-1�.��V9 � ��l�\ �//
SHIPPING LABELS. \ \ _ �\�\ / '
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 19A5 TITLE ��.\�d� \` J
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT G 4 (
THERETO
5 t 9 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY