29232 On Ramp Indiana C1 0-f Carmel INDIANA RETAIL TAX EXEMPT PAGE
�, \�! 13f' Jj,�s CERTIFICATE NO.003120155 002 0
J PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 29232
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES.A/P
CARMEL, INDIANA 46032-2564 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE,
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1 2/6/1 2 N/A 2334(03 Disk Space for Backup Servers
On Ramp Indiana Cam.,, AO � °. `? ,T TED
VENDOR 85-1 Q l &tanner ► ee+ SHIP i
DEC 7 2012
Nhlesvi lle, IN 4G0(90 TO 1
CONFIRM....., BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION i UNIT PRICE f
EXTENSION
1 EA 2x 2tb hard Drives and 2x PowerEdge Drive Caddy's $450.00 $450.00
for Backup Servers
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Send Invoice To
PLEASE INVOICE IN DUPLICATE $450.00
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUI}T AMOUNT
1125-1-4463200-Computer Equipment PAYMENT
• A/P VOUCHER CANNOT BE APPROViD FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORD AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS UNOBLIGATED BALANCE IN
•SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Audrey Kostrrzewa - DK y L�) __`
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL )A�-•... ll��-�,-1 ZI(I h T
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. _
29232 CLERK-TREASURER 6` ���L: / /
DOCUMENT CONTROL NO. VENDOR COPY
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