102071 HP INC 0 INDIANA RETAIL TAX EXEMPT Page 1 of 1
City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102071
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
11/6/2018 127102 HP Elite Desk 800 Desktop for Schriner
HP INC. Dept of Community Service
VENDOR 13207 COLLECTION CENTER DRIVE SHIP 1 Civic Square
TO Carmel, IN 46032-
CHICAGO, IL 60693--3207
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
30764
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 44-632.01
1 Each Computer Equipment $625.75 $625.75
Sub Total $625.75
Send Invoice To: 141.6 _` ' _...,.
Dept of Community Service \ 'Quote No. 12416969-2, Contract IN State of Indiana (13079), Reseller PCMG
Location 10320868
1 Civic Square N (t1; .. .0`,...Y
Carmel, IN 46032-
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT A PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $625.75
SHIPPING INSTRUCTIONS PART
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 / 7 - ' 5i''
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Mike Hollibaugh ^
TITLE Director \ V
CONTROL NO. 102071 CLERK-TREASURER �j