32186 SCW Southern Comfort WarehouseCi
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
32186
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
1215/2014
SCW - Southern Comfort Warehouse
VENDOR
1395 S. Marietta Parkway, Bldg 300 Suite 106
Marietta, GA 30067
SHIP
TO
DOCS Department
1 Civic Square
Carmel, IN 46032
(317) 571 -2418
CONFIRMATION
BLLANKET
CCONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY I UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 44- 632.01
2 Each Surface Pro Tablets
Send Invoice To:
DOCS Department
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$1,566.25 $3,132.50
Sub Total: $3,132.50
DEPARTMENT
1192 .'DOCS
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
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. 32186
ORDERED BY
TITLE
PAYMENT
$3,132.50
• 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.
I HEREBY '��'ttii;::ERTIFY THAT THERE ION UNOBLIGATED BALANCE IN
THIS AP /ROPRIATION $IIFFICIENT TO PAY FOR THE ABOVE ORDER.
Director
CLERK - TREASURER JealLI EQ//L --
A.P.V..COPY- SIGN AND RETURN TO CL 'S OFFICE