101424 I C C BUSINESS PRODUCTS ity INDIANA RETAIL TAX EXEMPT Page 1 of 1
ofCairrriie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101424
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
i 2/21/2018 146000 CTC Copier
I C C BUSINESS PRODUCTS Fire Department
VENDOR P.O. BOX 26058 SHIP 2 Civic Square
TO •
Carmel, IN 46032- /�
INDIANAPOLIS, IN 46226--6292
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
23640
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.99
1 Each Kyocera Copystar CS 3552Ci Color MFP with 140 Sheet $6,500.00 $6,500.00
reversing doc feeder,etc.
Sub Total $6,500.00
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Send Invoice To: �� � � ° � �,
Fire Department ..• • /
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2 Civic Square R r
Carmel, IN 46032- d � A` �
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $6,500.00
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 1945N. = '-�� ` 7 "�-V L� x_49 ��
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY {�~
Denise Snyder James Crider az
TITLE Budget&Accreditation Manager Administration 1�1
CONTROL NO. 101424 CLERK-TREASURER V \