101518 HP INC. 1
INDIANA RETAIL TAX EXEMIT Page 1 of 1
�1� ®f IIIariiriel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101518
ONE CIVIC SQUARE 35-6000972 THIS BER APAR VOIS,NP
CARMEL, INDIANA 46032-2584 VOUCHERNUM,DELIVERYMUST MP EP ,PACKINGINSLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCEON CE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
VENDOR NO. DESCRIPTION
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO.
311912018 127102 Docking Station
HP INC. Fire Department
VENDOR 13207 COLLECTION CENTER DRIVE SHIP 2 Civic Square
TO Carmel, IN 46032-
CHICAGO, IL 60693--3207
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
24309
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-500.70
$109.00 $109.00
1 Each D9Y32AA#ABA HP 2013 Ultraslim Docking Station
1 Each IN -State of Indiana Contract 13079 $0.00 $0.00
1 Each Quote#12116366 $0.00 $0.00
Sub Total $109.00
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Send Invoice To: 5.W .,,N.w.ti�.
Fire Department
2 Civic Square 3A. ��
Carmel, IN 46032- � ��
PLEASE INVOICE IN DUPLICPiTE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $109.00
SHIPPING INSTRUCTIONS 'NP VOUCHER CANNOT BE APP OVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EV RY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*COD.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
~ ` "
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. Denise Snyder
TITLE Budget&Accreditation Manager
CONTROL NO. 101518 CLERK-TREASURER