102156 CCS PRESENTATION SYSTEMS INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Carirriiel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102156
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
11/27/2018 372795
CCS PRESENTATION SYSTEMS Human Resources
VENDOR 1256 WASHINGTON ST SHIP 1 Civic Square
TO Carmel, IN 46032-
COLUMBUS,OH 47201 -
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31291
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1208 Fund: 101 General Fund
Account: 42-380.00
1 Each Small Tools&Minor Equipment $6,160.00 $6,160.00
Sub Total $6,160.00
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Send Invoice To: ^H �
Human Resources `Z \ ,a/€
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Carmel,IN 46032- Pa(a' t -,�';`..,,,,,—
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT A PROJECT 1 PROJECT ACCOUNT AMOUNT
PAYMENT $6,160.00
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 LABE a "'� '��-(_„ ,
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 0/, /[AA[
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY aA,i' s
James Crider
TITLE Administration
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CONTROL NO. 10215,6 CLERK-TREASURER