26899 Southern Computer WorksCity of Carmel
3 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
1 of 1
PURCHASE ORDER NUMBER
26899
THIS NUMBER MUST APPEAR ON INVOICES, NT'
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
ORDER DATE
DATE REQUIRED
REQUISITION NO. '
VENDOR NO.
DESCRIPTION
(PURCHASE
12/15/14
a'
Southern Computer Works
VENDOR 1395 S. Marietta Parkway,
Building 300 Suite 106
Marietta, GA 30067
SHIP Hamilton /Boone County Drug Task Force
TO 3 Civic Square
Carmel, IN 46032
CONFIRMATION
BLANKET
-
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
r`
UNIT PRICE.
EXTENSION
1 ea. Microsopf Surface Pro 3 QF2 -00001
1 ea. Microsoft Surface Pro Type Cover RF2 -00003
1 ea. Targus CityGear Mini TS
Extended Hardware Bervice Plan
See Quote 0963399
Send Invoice To:
Hamilton /Boone County DruguTAakJlf?or�
3 Civic Square Nlil
Carmel, IN 46032
Attn: Marie Doan '
mdoan @ca'rmm6.'in.gov
PLEASE INVOICE IN DUPLICATE
961.20
96.21
30.04
210.40
961.20 .
96.21
30.04
210.40
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
911 632 -01
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. 26899
2014 -911 PAYMENT 2014 -2 $1,297.85
• NT' VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE. P.O.
. NUMBER 15 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALYNCE IN
THIS APPROPRIATION SUFFICIENT TO PAKFOR THEY B;Q,VE ORDER.
ORDERED BY
Aaron Dietz
TITLE Major
CLERK - TREASURER
OFFICE COPY