32163 CDW GovernmentCi
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
32163
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
• DESCRIPTION
11/2512014
Hard Drive for Tower Site DVR
VENDOR
CDW Government, Inc
75 Remittance Drive, Ste 1515
Chicago, IL 60675
SHIP
TO
Camel Communication Center
31 1st Ave NW
Carmel, IN 46032
(317) 571-2576
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 44- 632.01
4 Each WD RE WD4000FYYZ- Hard driva 2844127 $290.52 $1,162.08
Send Invoice To:
Quote No. FSQR835
Cannel Communication Center
31 1st Ave NW
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
Sub Total: $1,162.08
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
1115 Communications
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 32163
ORDERED BY
PAYMENT $1,162.08
• AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
. VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THER.c..18 -AN UNOBLIGATED BALANCE IN
THIS AP@ RI ION S - FICIENT TO PAY FOR THE ABOVE ORDER.
—.0111/41/ l.11
TI LE Director
CLERK - TREASURER
OFFICE COPY