101453 TOSHIBA FINANCIAL SERVICES ci
iINDIANA RETAIL TAX EXEMPT Page 1 of 1
tofCarmel CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
/ FEDERAL EXCISE TAX EXEMPT 101453
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
3/5/2018 368053 LEASE PAYMENTS,COPY OVERAGE AND MAINTENANCE FOR
TOSHIBA 5506ACT COPIER
TOSHIBA FINANCIAL SERVICES Mayor's Office
VENDOR PO BOX 790448 SHIP 1 Civic Square
TO Carmel, IN 46032-
ST LOUIS,MO 63179--0448
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
23925
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1160 Fund: 101 General Fund
Account: 43-530.04
1 Each LEASE PAYMENTS, COPY OVERAGE&MAINTENANCE OF $6,500.00 $6,500.00
TOSHIBA 5506ACT COPIER
Sub Total $6,500.00
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Send Invoice To:
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Mayor's Office \ \ >
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1 Civic Square
Carmel, IN 46032- rL ,W.
PLEASE INVOICE IN DUPLICATE
DEPARTMENT E ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $6,500.00
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 �,
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ;`� f C�/ l 1 r
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Sharon Kibbe James Crider \
TITLE Executive Office Manager Administration/� \L
CONTROL NO. 101453 CLERK-TREASURER I J