101375 CDW GOVERNMENT INC (2) INDIANA RETAILTAX EXEM•PT Page 1 of 1
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. . 1 ys_o .:. :.. . ar .. .. . CERTIFICATE`N I 03120155 002 0 PURCHASE ORDER NUMBER
- - FEDERAL•EXCISE TAX EXEMPT ' - - : 101375
:. ' 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
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PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO: VENDOR NO. - :DESCRIPTION •-
' - -.2/6/201,8 � • - -. • 033825 - •
ty-
• CDW GOVERNMENT INCDept of Communi Service-
VENDOR: 75 REMITTANCE:DR : :'• • . --. SHIP I Civic Square . .
•
SUITE 1515:. : • TO. Carmel,-IN:46032-.:. . . .
CHICAGO, IL 60675--1'515
PURCHASE.ID BLANKET CONTRACT
:: :.•. PAYMENT TERMS_;;
.23232 . .
QUANTITY :.- : : UNIT OF MEASURE : : • : : DESCRIPTION. .•: UNIT PRICE EXTENSION
Department: 1192 '- Fund: 101 General Fund
. Account:. 44-632.01
-
:1: Each: : . Scanner • • $4,032.21 _. : $4;032.21
.:. . Sub Total $4,032.21-
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Send Invoice To: ,
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:- : :Dept of Community:Service,-. : ''' ` � Scanner for.DOCS front off _e staff :.. - .
1 Civic Square.
:__ : Carmel, IN 46032-
. PLEASE INVOICE IN DUPLICATE- '
:. . DEPARTMENT :: :.G. .:: :ACCOUNT:: :.'. m .. : . PROJECT .: : .0 ::PROJECT ACCOUNT .1 AMOUNT
::PAYMENT ::. : . : : ... : : $4,032.2
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' R • : : •NP VOUCHER:CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A :: '
SHIPPING INSTRUCTIONS' '
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
*SHIP PREPAID. AFFIDAVITATTACHED.:"HEREBY CERTIFY THAT THERE IS AN UNOBUGATED.BALANCE IN ,
'
COD SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
- 'PURCHASE ORDER NUMBER MUST APPEARON ALL SHIPPING LABEL .
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 .
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. : ORDERED BY
Mike Hollibaugh
TITLE -: :: Director
CONTROL NO. 0 CLERK-TREASURER - • '