102160 GFC LEASING OH , INDIANA RETAIL TAX EXEMPT Page 1 of 1 .
City . o Iarirriie1 CERTIFICATE NO.003120155 0020 PURCHASEORDERNUMBER:
FEDERAL EXCISE TAX EXEMPT 102160 60 -
ONE CIVIC SQUARE 35-6000972THIS 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
11/28/2018 367166
GPC LEASING OH • Dept of Community Service.
VENDOR PO BOX 2290 SHIP 1 Civic Square
• TO Carmel, IN 46032- :.
MADISON,WI 53701 = -
PURCHASE ID I BLANKET CONTRACT PAYMENT:TERMS. -
`FREIGHT ` .
31315
QUANTITY : UNIT OF MEASURE DESCRIPTION UNIT PRICE - EXTENSION
Department: 1192:,':.';. Fund:: 101 General Fund •
:.
Account: .43-530.99: .
1 Each' _ Copier and Smartboard Leases $6,000.00':" - $6,000.00
u
S b Total $6,000.00
•
•
J S •
Send Invoice:To;
Dept of Community Service . t,.
•
1 Civic Square' .
Carmel, IN 46032- :
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT - : AMOUNT
•
PAYMENT $6,000.00
- 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 79f---- ---e-5,---i--Yv�c c:_O ,,-e
`�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Mike Hollibaugh • James Crider
TITLE Director Administration .�
CONTROL NO. 10216.0': • • CLERK-TREASURER '