37613 B & H Photo INDIANA RETAIL TAX EXEMPT PAGE 1
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Carmel CERTIFICATE 3120155 902 9
FEDERAL AL EXCISE XCISE PURCHASE ORDER NUMBER TAX EXEMPT 37613
35-60000972
THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
9/19/2014 09123/14 2991 Projector for Wilfong
B & H Photo MCC -West
p.o. BOX 3032 1235 Central Park Drive East
VENDOR New York, NY 10116-3032 ToIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE 1 DESCRIPTION UNIT PRICE EXTENSION
1.000 each Epson Projector VS230 SVGA 3LCD - Free Shipping $334.2100 $ 334.21
GLAccount# 1125300-4238900
Send Invoice To:
$ 334.21
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Eric Mehl �/�v „ 9
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �`
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 37613 COF'L