101351 CDW GOVERNMENT INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
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CERTIFICATE N0.003120155 002 0 PURCHA�SEoORDER�UME
FEDERAL EXCISE TAX EXEMPT '' 1I J
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 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 DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
2/2/2018 033825 Computer Equipment
CDW GOVERNMENT INC Fire Department
VENDOR 75 REMITTANCE DR SHIP 2 Civic Square
SUITE 1515 TO Carmel, IN 46032-
CHICAGO, IL 60675--1515
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
23055
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-500.70
2 Each 1860203 Gyration Air Mouse Elite with 100' Keyboard and Motion $117.70 $235.40
Tools Software
Sub Total $235.40
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Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $235.40
SHIPPING INSTRUCTIONS '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
'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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY \�
Denise Snyder
TITLE Budget&Accreditation Manager
CONTROL NO. 101351 CLERK-TREASURER ��r'