101732 PCMG, INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Ia]r1nr]Ie1 CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101732
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
6/13/2018 371503 Replacement EOC Equipment
PCMG,INC Fire Department
VENDOR SHIP 2 Civic Square
FILE 55327 TO Carmel, IN 46032-
LOS ANGELES,CA 90074--5327
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
26658
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-632.01
1 Each 13685402 Book Power Supply $70.00 $70.00
1 Each 07913402 Laser Presentation Remote $50.00 $50.00
1 Each SBY USB Optical Scroll Mouse $15.00 $15.00
2 Each Smart Buy Elitedisplay 23.81N MNTR1920X $252.00 $504.00
1 Each Surface Pro 128GB M 4GB Com Syst $705.00 $705.00
1 Each 08785404 Wrlss Mble Mse 4000 $24.00 $24.00
Sub Total $1,368.00
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Send Invoice To:
Fire Department
2 Civic Square d
Carmel, IN 46032- a
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $1,368.00
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" � -y°✓
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder \,
TITLE Budget&Accreditation Manager \"x\
CONTROL NO. 101732 CLERK-TREASURER \Vn\��