50831 B&H PHOTO . INDIANA RETAIL TAX EXEMPT PAGE 1
City
•�• .0031 50020 ,Carmel CERTIFICATE NO 2015-arm
.•... �_.. PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 50831 •
35-60000972
.:•OHNE:CIVICSQUAR£ . _�.�._..... __�_ _ .__
ARh1EL,iNot41%460322554 THIS NUMBER MUST APPEAR ON INVOICES,A!P
��� SHIPPING DBAN MANY ORRESP NDEN I
SHIPPING LABELS AND CORRESPONDENCE. I
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 ---
PURCHASE ORDER DATE DATE REQUIRED 1 REQUISITION NO j VENDOR NO. 1 DESCRIPTION
1/25/2018 01/30/18 15161 00353038 !Laptop Computer Equipment-Natural Resources Coordinator
B&H Photo. Parks Maintenance
p.o.BOX 3032 SHIP 1427 E. 116th Street ATTN:Courtney
VENDOR New York,NY 10116-3032 To Carmel, IN 46032
CONFIRMATIONBLANKET CONTRACT PAYMENT TERMS J FREIGHT �.
3
QUANTITY i UNIT OF MEASURE 1 DESCRIPTION 1 UNIT PRICE EXTENSION
1.000 each . HP laptop part#V1H21UT#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
DEPARTMENT i ACCOUNT 1 PROJECT 1 PROJECT ACCOUNT 7 AMOUNT
PAYMENT
• 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
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 Michael Allen
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 50831 VENDOR COPY \ I