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29278 Dell Computers Inc. EXEMPT City o a. iie CERTIFICATE NOL0031X20155 002 0 PAGE ``� PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 29278 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P 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 12/14/12 N/A po3y276 d Computer Equipment Dell Computers, Inc. AO F0. t OIK 8O2g1(o .R.1�',r-`�:TNTFD VENDOR SHIP Cln i o, IL (96680 TO DEC 17 z012 Bar:_ __ __ CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE.- DESCRIPTION I UNIT PRICE ! EXTENSION Computer Equipment $5,900.00 $5,900.00 NTE $5,900.00 I f, Send Invoice To: $5,900.00 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUrT AMOUNT 1125-1-01-4463200-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 SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS/N UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPROPRIATION SUFFICIENT-0 PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Michael Klitzing - DK •PURCHASE ORDER NUMBER MUST APPEAR ON ALL - IZ 1'' IT- — SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE 4.4 !`i Z. AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. // 29278 CLERK-TREASURER DOCUMENT CONTROL NO. VENDOR COPY