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102294 SHI INTERNATIONAL INDIANA RETAIL TAX EXEMPT Page 1 of 1 City of Carme CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 102294 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 372129 ASUS ZenScreen Monitor SHI INTERNATIONAL CORP ICS VENDOR PO BOX 952121 SHIP 31 1st Avenue N.W. TO Carmel, IN 46032- DALLAS,TX 75395--2121 : Timothy Renick (317)571-2576 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 31890 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE: EXTENSION Department: 1115 Fund: 101 General Fund Account: 44-632.01 1 Each ZenScreen LCD Monitor $288.02 $288.02 Sub Total $288.02 " �` t fad i - - F 5 _ y :i K. X ! £�Fk -fit S Send Invoice To: ICS ';Quote NO. 16376773 i;r H Timothy Renick ri 31 1st Avenue N.W. ` Carmel, IN 46032- (317)571-2576 PLEASE INVOICE IN DUPLICATE DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT PAYMENT $288.02 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 '�y> 6. 1 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Timothy Renick TITLE Director 9 '\ , CONTROL NO. 102294 CLERK-TREASURER A