51572 CDW GOVERNMENT INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0y {. CIr1fle]. PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 51572
35-60000972 '
ONE CIVIC SQUARE
CARMEL,x'lDI tIA 4S0?2-2S;4 THIS NUMBER MUST APPEAR ON INVOICES,NP
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
6/19/2018 06/24/18 16814 033825 Laptop computer for HR Assistant
CDW Government MCC- East
75 Remittance Drive Ste 1515 1235 Central Park Drive East
VENDOR Chicago, IL 60675-1515 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each HP laptop part#V1 H21 UT#ABA $ 1,422.8300 $ 1,422.83
GLAccount#1125101-4463200
Send Invoice To:
$ 1,422.83
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
\\k)i.ci
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 51572 VENDOR COPY vv 4