50784 B&H PHOT INDIANA RETAIL TAX EXEMPT ! PAGE 1
CERTIFICATE NO.003120155 002 0City ofair���el ; I � PURCHASE ORDER NUMBER
Carmel FEDERAL EXCISE TAX EXEMPT 50784
35-60000972
ONE CIVIC SQUARE ..___..____:__..._:_______......�___w__...................
CARMEL,INDIANA 46032-2584 THIS NUMBER MUST APPEAR ON INVOICES,A!P
VOUCHER,DELIVERY MEMO.PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 __.__._.._.___,_..__ _.__......_......._......._
PURCHASE ORDER DATE 1 DATE REQUIRED REQUISITION NO. I VENDOR NO. 1 DESCRIPTION
1/18/2018 101/16/18 115021 ' Computer Equipment-HR Director
1
00353038
B&H Photo Parks Maintenance
p.o.BOX 3032 1427 E. 116th Street ATTN:Courtney
VENDOR New York,NY 10116-3032 SHITo
Carmel, IN 46032
CONFIRMATION i BLANKET ( CONTRACT PAYMENT TERMS FREIGHT
QUANTITY 1 UNIT OF MEASURE DESCRIPTION I UNIT PRICE I EXTENSION
1.000 each HP laptop part#V1 H21 UT#ABA $ 1,459.9900 $1,459.99
1.000 each 8GB RAM part#P1N54AT $90.1600 $90.16
1.000 each HP 2013 Ultraslim docking station#D9Y32UT#ABA $ 164.9900 $164.99
GLAccount#1125101-4463200
Send Invoice To:
$1,715.14
PLEASE INVOICE IN DUPLICATE
V V DEPARTMENT V�m V I _..._._.____ ACCOUNT mm ry Y PROJECT -��� PROJECT ACCOUNT AMOUNT M1^
PAYMENT
• AIP 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 /1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE _ _
IX,
CLERK-TREASURER
DOCUMENT CONTROL NO. 50784 VENDOR COPY \\