101248 TOSHIBA FINANCIAL SERVICES ityr INDIANA RETAIL TAX EXEMPT Page 1 of 1
ofCarmelCERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
J FEDERAL EXCISE TAX EXEMPT 10124$
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1/8/2018 368053 COPIER
TOSHIBA FINANCIAL SERVICES Mayor's Office
VENDOR PO BOX 790448 SHIP 1 Civic Square
TO Carmel, IN 46032-
ST LOUIS,MO 63179--0448
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22439
QUANTITY ' UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1160 Fund: 101 General Fund
Account: 43-530.04
1 Each COPIER LEASE $6,500.00 $6,500.00
Sub Total $6,500.00
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Send Invoice To:
Mayor's Office
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $6,500.00
SHIPPING INSTRUCTIONS '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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D.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 �_ sb._,.J `-�j 10 o r- �—t1�,.` eiG[
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY '
Sharon Kibbe James Crider c
TITLEExecutive Office Manager Administration \ -\``.
CONTROL NO. 101248 CLERK-TREASURER