101619 TOSHIBA FINANCIAL SERVICES o INDIANA RETAIL TAX EXEMPT Page 1 of 1
ciit of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101619
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
4125/2018 368053
TOSHIBA FINANCIAL SERVICES Department of Law
VENDOR PO BOX 790448 SHIP 1 Civic Square
TO Carmel,IN 46032-
ST LOUIS, MO 63179--0448
Doug
FREIGHT Haney (317)571-2472
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
25403
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1180 Fund: 209 Deferral Fund
Account: 43-530.04
1 Each Copier $1,418.50 $1,418.50
Sub Total $1,418.50
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Send Invoice To: is, '- �„„ .1
Department of Law F
Douglas C. Haney
1 Civic Square
Carmel,IN -46032-
PLEASE INVOICE IN
(317)571-2472 DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $1,418.50
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 1--k71)`j 1->
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY ��
Douglas Haney
TITLE Corporation Counsel k
CONTROL NO. 101619 CLERK-TREASURER