26288 Hewlett PackardCi of Gemmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHP ' g,/ERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
Atlant
Game I
, GA 30:84
(317) 733 -2001
7/122012
VENDOR
Hewlett Packard, Inc.
SHIP
TO
Street Department
3400 W. 131st Street
CONFIRMATION
i'- D.
BLANKET
Ak 277205
1.4i
CONTRACT
PAYMENT TERMS
Carmel, IN A607A
FREIGHT
Atlant
Game I
, GA 30:84
(317) 733 -2001
_....._._.
amiItyn , I
UNIT PRICE
EXTENSION
Account 2201 - 640.00
2 Each printers per attached quote
W6CR Co& AcT4I
OutI �-I- TA:
41 co)50)„Oooi[ "3Lii
Send Invoice To:
Street Department
3400 W. 131st Street
PLEASE INVOICE IN DUPLICATE
DEPAffITMSNV, IN 46074- ACCOUNT
PROJECT
Carmel Street PI Department
• SHIP REPAID.
• C.0.0. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL.
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 26288
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
$964.05
Sub Total:
PROJECT ACCOUNT
$1.928.10
$1.928.10
AMOUNT
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.$1 925.10
• !HEREBY CERTIFY THAT THERE 15 AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
-Then_
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re-Lt ate