101890 HP INC. INDIANA RETAIL TAX EXEMPT Page 1 of 1
City ®f 1nrruie1 CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101890
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
8/22/2018 127102
HP INC. Clerk-Treasurer's Office
VENDOR 13207 COLLECTION CENTER DRIVE SHIP 1 Civic Square
TO Carmel, IN 46032-
CHICAGO, IL 60693--3207
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
28727
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1701 Fund: 101 General Fund
Account: 44-632.01
1 Each DUAL MONITORS FOR JANET'S DESK $254.00 $254.00
Sub Total $254.00
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Send Invoice To:
Clerk-Treasurer's Office QUOTE NO. 12315971,CONTRACT IN-STATE OF INDIANA(13079), PCMG
LOCATION 10320868
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT i PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $254.00
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 19459Cr--e—W—P—C" -
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY �
Jacob Quinn
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TITLE Deputy Clerk of City Business
CONTROL NO. 101890 CLERK-TREASURER