102238 HP INC. INDIANA RETAIL TAX EXEMPT Page 1 of 1City ®1 Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102238
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
12/6/2018 127102 Desktops-All Stations
HP INC. Fire Department
VENDOR 13207 COLLECTION CENTER DRIVE SHIP 2 Civic Square
TO Carmel, IN 46032-
CHICAGO,IL 60693-3207
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31715
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-632.01
13 Each 2YH17AV Configurable HP EliteDesk 800 G465W Desktop Mini PC $614.00 $7,982.00
13 Each U7897E HP 4 year Next Business Day Onsite Hardware Support $10.00 $130.00
13 Each N3H14A8#BA HP Promo ProDisplay P240va Monitor(Energy Star) $139.00 $1,807.00
13 Each EM870AA HP Quick Release Bracket $15.00 $195.00
1 Each State Of Indiana Contract 13079 $0.00 $0.00
Sub Total $10,114.00
Send Invoice To:
Fire Department ,
2 Civic Square
Carmel, IN 46032- £`
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT Y PROJECT ACCOUNT AMOUNT
PAYMENT $10,114.00
SHIPPING INSTRUCTIONS 'A/P 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 aa 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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder James Crider
TITLE Budget&Accreditation Manager Administration
CONTROL NO. 102238 CLERK-TREASURER