26893 Paper Lite City ty f C ar 11 1'1 INDIANA RETAIL TAX EXEMPT PAGE 1 of 1
CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26893
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35- 60000972
3 ME CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, MP
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
4/14/12
Paper-Lite, Division of Mathes Assoc. .Inc. SNIP Hamilton County Drug Task Force
VENDOR P y g
1711.Wood Valley Drive TO 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 ea. Fijitsu Scanner 6140 $1,675.00 $1,675.00..'
2 ea. Advance Exchange Warranty for 2 additional years 99.99 198.00
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Send Invoice To: Hamilton County DRug sk orc Yr it p
3 Civic Square 4111,
Carmel, IN 46032
Attn: Marie Doan
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
911 670 -01 2012 -911 PAYMENT 2012 -2 $1,873.00
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 I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE AB VE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR'ON ALL ORDERED BY Aaron Dietz
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Maj or y
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 26893 OFFICE COPY