101682 HP INC. INDIANA RETAIL TAX EXEMPT Page 1 of 1
iitv ® CariiiriielCERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101682
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AN
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 1\�
5/23/2018 127102
Laptops-Gugel,Snyder
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
26162
QUANTITY . . UNIT.OF MEASURE DESCRIPTION . . :. : UNIT PRICE .: EXTENSION
Department 1120 Fund. 102 Ambulance Capital Fund
Account:. 44-632.01
2: Each Configurable HP Zbook 15 G4 E3-1505M Mobile Workstation $2,270.00 $4,540.00
Y4E79AV
2 Each : HP 3 Year NMB Onsite HW Support w/Accidental Damage $111.20 $222.40
Protection G2 Defective Media Retention for NB.
4 Each HP E243 23.8"Display.1FH47AA#ABA $157.00 $628.00
2 Each .: : : HP Zbook 150W Thunderbolt 3 Dock $170.00- .$340.00
1 Each State of Indiana Contract 13079
$0.00 $0.00
Sub Total $5,730:40
_ .AF 0 3'
Send Invoice To: ¢'
Fire Department '
2 Civic Square .
vy e
Carmel, IN 46032-. . .� �.
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT.
PAYMENT $5,730.40
SHIPPING INSTRUCTIONS
*A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
*SHIP PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
IP PREPAID.
. . . AFFIDAVIT ATTACHED.::I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED 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 Q cdc1•--Or
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder James Crider
TITLE .Budget&Accreditation Manager Administration
CONTROL NO. 101682 CLERK-TREASURER