102084 MONOPRICE INC v
cii
INDIANA RETAIL TAX EXEMPT Page 1 of 1
itof II1airrrie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 02084
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
10/24/2018 369617 Cables
MONOPRICE INC ICS
VENDOR PO BOX 740417 SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
LOS ANGELES,CA 90074--0417 Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
30407
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 42-390.13
25 Each 13360 Select Series DisplayPort 1.2 Cable, 6ft $4.59 $114.75
1 Each shipping $9.99 $9.99
Sub Total $124.74
sal
La .v
s
1 ,
= 4 g
i rs
Send Invoice To: � a
;'1!1',1. ,1...:1 :.",. , -.:d.::-.-:,,-_- „.:..� � r"
ICS
Timothy Renick ta "
31 1st Avenue N.W. .1'11{1,,7")
er >"
Carmel, IN 46032-
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $124.74
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 ( t^
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Janet Arnone
TITLE Admin Assistant
CONTROL NO. 102084 CLERK-TREASURER �\