27846 PaperLite rr v l f Carmel. IRTIFIA RETAIL TAX EXEMPT PAGE
I►� CERTIFICATE NO. O. 003120155 155 00 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT J
35- 60000972 `7
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AP
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
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS 1 HEREBCCERTIFY THAT THERE ISANUNOBLIGATED BALANCE IN
THIS PAOPRIATION SUFP%CIENT TO PAY.FOR THE ABOVE ORDER.
SHIP REPAID. 1 2
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THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1965 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERRETO.
DOCUMENT CONTROL NO. 27 846 CLERK-TREASURER
A.P.V. COPY S SIGN AND RETURN TO CLERIC'S OFFICE
Quote
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DATE
1711 Wood Valley Drive
Carmel, IN 46032 2/10/2012
City of Carmel
One Civic Square
Carmel, IN 46032
Atln:Terry Crockett
Make Checks Payable to Paper -Lite P.O. NO. TERMS REP
Division of Mathes Assoc., Inc.
Net 30
ITEM DESCRIPTION QTY LIST PRICE TOTAL
Support Support Renewal Service for Fujitsu 1 875.00 875.00
FI- 5530C/FI- 5530C2 Serial #007947
Contract Terms: 02/01/2012- 01/31/2013 Contract
2119779
Post Warranty Next Day Service for Fujitsu
FI- 5530C/FI- 5530C2
Sales Tax (0.00) $0.00
Phone Fax E -mail TOTAL
$875.00
812- 350 -5044 317- 581 -9409 nancy @gopaperlite.com