102280 SERVICE EXPRESS INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of cIairrnie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 02280
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
12/10/2018 357831 T410 Server hardware maintenance
SERVICE EXPRESS INC ICS
VENDOR 3854 BROADMOOR AVE SE SHIP . 31 1st Avenue N.W.
TO Carmel, IN 46032-
GRAND RAPIDS, MI 49512- Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31831
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 43-515.01
1 Each Annual Equipment Maintenance $105.00 $105.00
Sub Total $105.00
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Send Invoice To: , f�
ICS \< Quote No. 29980
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Timothy Renick "�
31 1st Avenue N.W. ',,,, fi
Carmel, IN 46032- E 1z
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT
PAYMENT $105.00
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 f�
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 / -
-
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick
TITLE Director Cnl
CONTROL NO. 102280 CLERK-TREASURER \V