101731 HP INC. CityINDIANA RETAIL TAX EXEMPT Page 1 of 1
of �( Ia]r1IT1r]1e1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
\ FEDERAL EXCISE TAX EXEMPT 101731
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
6/13/2018 127102 Replacement EOC Equipment
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
26657
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-632.01
1 Each Configurable HP Probook 650 G2 Notebook PC, Intel i7- $1,077.00 $1,077.00
6600U L8U49AV
1 Each F3W43AA HP Display Port to HDMI 1.4 Adapter $15.00 $15.00
1 Each HP 3 Year Pickup and Return Hardware Support with $68.00 $68.00
Accidental
1 Each L8T12AV Configurable HPZ240 Tower Workstation $1,388.75 $1,388.75
1 Each Quote 12234418 $0.00 $0.00
1 Each Quote 12234442 $0.00 $0.00
1 Each State of Indiana Contract 13079 $0.00 $0.00
Sub Total $2,548.75
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Send Invoice To: .k
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2 Civic Square 4'11
Carmel, IN 46032- 2,;.k1::\ ,,,
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $2,548.75
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 ---w� :
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 "`~=`'
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY t
Denise Snyder ?
TITLE Budget&Accreditation Manager n
CONTROL NO. 101731 CLERK-TREASURER Vii h4 .