101428 SERVICE EXPRESS INDIANA RETAIL TAX EXEMPT Page 1 of 1
City Of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101428
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
212212018 357831 Host Server Hardware Maint
SERVICE EXPRESS ICS
VENDOR 4845 CORPORATE EXCHANGE SHIP 31 1st Avenue.N.W.
TO Carmel,IN 46032-
GRAND RAPIDS, MI 49512 Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
23669
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 43-5.15.01
1 Each Annual Host Server Hardware Maint $740.00 $740.00
Sub Total $740.00
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Send Invoice To: l ... .a - ._�.,.
ICS 'Annual Charge for 2122118-11130/18(Host Servers) USE302SD1W,
Timothy Renick U�SE302SDIY-Service Agreement 22163
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 $740.00
SHIPPING INSTRUCTIONS *NP 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 �I �.,. A
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 '`
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
0.)N1
Timothy Renick
TITLE Director
CONTROL NO. 101428 CLERK-TREASURER