101396 HP INC INDIANA RETAIL TAX EXEMPT Page 1 of 9
IIiti oity of iarinrjie1
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101396
• 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
2/13/2018. 127102 - Chromebooks=ICS
HP INC.
ICS
VENDOR 13207 COLLECTION CENTER DRIVE SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
. .. .
CHICAGO, IL 60693--3207 Timothy Renick
y (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS, , ,
FREIGHT
23393
QUANTITY UNIT OF
. . I. .
MEASURE DESCRIPTION. UNIT PRICE EXTENSION
Department 1115 Fund 101 General Fund
Account:. 44-632.01,
2 Each T4M32UT#ABA HP Chromebook.14 G4 $220.00 $440.00
.• Sub Total $440.00.
•
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Send Invoice.To: : •r ;I . 1., ,;"< ,,,,,,:v : .
ICS . . : . -?Quot. NO..12071190 :Contract: IN-Sr ate of Indiana(13079) Reseller of
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Timothy Renick choice: PCMG Location 103208613
, :
31 1st Avenue N.W. • x
Carmel, IN 46032-
:� '
(317)571-2576
PLEASE INVOICE IN DUPLICATE
DEPARTMENT p. ACCOUNT. :. . I :. PROJECT PROJECT ACCOUNT . AMOUNT. .
PAYMENT .:. . . $440.00
•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.
AFFIDAVITATTACHEa I HEREBY CERTIFY THAT THERE IS AN UNOBUGATEDBALANCE 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
Timothy Renick
TITLE Director
CONTROL NO. 396 CLERK-TREASURER