HomeMy WebLinkAbout41440 AVG TECHNOLOGIES USA, INC. iI INDIANA RETAIL TAX EXEMPT I E PAGE 1
ofCity CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 41440
35-60000972
ONE CMC SOVAie
CARUEL, ' 3:. °Od- THIS NUMBER MUST APPEAR ON INVOICES,NP
's.
VOUCHER.DELIVERY MEMO,PACKING SUPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISmON NO. VENDOR NO: DESCRIPTION
196/V Yi'/r I'rt I-
4/27/2017 05/01/17 12336 vJ ri it;1.71t!'Jzt:i Anti Virus License Renewal 5/1/17-4/30/19
.......................
AVG Technologies USA, Inc. 31 I LU, Administration Office
9300 Harris Corners Pkwy Ste 450 SHIP 1411 E. 116th Street
VENDOR Charlotte,NC 28269 TO Carmel,IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE L EXTENSION
1.000 each AVG Anti Virus Business Edition Renewal License#2015- $ 1,938.9900 $1,938.99
KINU6-REDU2-NYFN3-QDHGI-IS3BK GD6FL(90 computers)
GLAccount#1125101-4341955
Send Invoice To:
$1,938.99
PLEASE INVOICE IN DUPLICATE
.... .,
DEPARTMENTDEPARTMENTACCOUNT I PROJECT I PROJECT ACCOUNT I 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN TNS APPROPRIATION
• SHP REPAID SUFFICIENT TO PAY FOR THE ABOVE ORDER.
▪ C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194E
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 41440 VENDOR COPY t �� `
V\