30299 On Ramp Indiana °W INDIANA RETAIL TAX EXEMPT PAGE
1�, 10 Carmel II 111555... CERTIFICATE NO. 003120155 002 0
C/ fL �.iLll PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 30299
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES. A/P
CARMEL, INDIANA 46032 VOUCHER. DELIVERY MEMO. PACKING SUPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DAT DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/19/11 N/A a5334 1o3 Computer Hardware Upgrades
On-Ramp Indiana AO
859 CoV1,ner x SHIP I/
VENDOR '1' =5- 19 2011
Nohlesvi lie IN 4100(.00 TO
Li
CoNMNAnDN BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE r DESCRIPTION UNIT PRICE I EXTENSION
1 EA 16GB Dell replacement memory module kit for Dell $1,000.00 $1,000.00
PowerEdge 2950 III Server
12 EA 12x 500gb 2.5" SATA hard drives $200.00 $2,400.00
It
t
1
I
Send Invoice To 1
$3,400.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT 1 PROJECT I PROJECT ACCOUNT I AMOUNT
1125 -1- 4463200- Computer Equipment PAYMENT
M' VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER 15 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWOFN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY THAT THERE I5 /N UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT D PAY FOR THE ABOVE ORDER
SHIP REPAID
O.O.O. SHIPMENTS CANNOT BEACCEPTED. ORDERED BY Michael Klitzing DK r` ,r51 y, pp"- I':. 11
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
30299 CLERK TREASURER
DOCUMENT CONTROL NO. VENDOR COPY