101347 CDW GOVERNMENT INC • ��� of � INDIANA RETAIL TAX EXEMPT Page 1 of 1
me CERTIFICATE
O PURCHASE
EXCISE TAX EXEMPT1S®ORDER�UMBER
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
2/1/2018 033825 Keyboard and mouse
CDW GOVERNMENT INC ICS
VENDOR 75 REMITTANCE DR SHIP 31 1st Avenue N.W.
SUITE 1515 TO Carmel,IN 46032-
CHICAGO, IL 60675--1515 Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
23017
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 42-302.00
1 Each 1860203 Air mouse Elite with 100'keyboard and motion tools software $117.70 $117.70
Sub Total $117.70
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Send Invoice To: sY
ICS `Quote No.JNQD313
Timothy Renick
31 1st Avenue N.W.
Carmel, IN 46032-
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $117.70
SHIPPING INSTRUCTIONS 'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
*SHIP 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
*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 /�• !a'_3�} a \L
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
TimothyRenick ��
Director
Direre ctor
CONTROL NO. 101347 CLERK-TREASURER