101210 PCMG, INC Cit ®� I1a.]r]rr1e1
INDIANA RETAIL TAX EXEMPT Page 7 of 1 RD M. R
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101210
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL,INDIANA 46032 2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
'RM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/27/2017 371503
PCMG,INC Clerk-Treasurer's Office
VENDOR, SHIP 1;,Civic Square
FILE 55327 TO Carmel, IN 46032 I..
LOS ANGELES,CA 90074--5327
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22087
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1701 Fund: 101 General Fund
Account: 44-640.00
1 Each 13741511 TROY MICR PRINTER 402N -
$785.00 $785.00
Sub Total $785.00
SCANNED
2
8 2 011
i
Send Invoice To: E
Clerk-Treasurer's Office <,
1 Civic Square
Carmel, IN 46032- . . :.. - i; A�
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT Q PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $785.00
SHIPPING INSTRUCTIONS *MP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
3.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL ����,,,,,,,
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 re,.+Gb'1 ea.
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Dianne Walthall
TITLE Director of Financial Reporting
CONTROL NO. 101210 CLERK-TREASURER \ \�