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I1t)r ®' Carmel f CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMB
FEDERAL EXCISE TAX EXEMPT 26684
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
I VOUCHER,DELIVERY MEMO.PACKING SLIPS,
I CARMEL, INDIANA 46032-2584
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
1/5/2017 340082
F.
WORD SYSTEMS INC City Court
VENDOR 9225 HARRISON PARK CT SHIP 1 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46216--1089
PURCHASE ID BLANKET I CONTRACT PAYMENT TERMS FREIGHT
I 11623
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE IEXTENSION
Department: 1301 Fund: 101 General Fund
Account: 44-632.02
1 Each software 1 Encumbrance Soft Ware $1,000.00 $1,000.00
Sub Total $1,000.00
•
Send Invoice To:
City Court
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT -11
PROJECT ACCOUNT AMOUNT
q
PAYMENT $1,000.00
SHIPPING INSTRUCTIONS *NP VOUCHER CANNOT BE APPROVED FOR PAYMENTUNLESSTHE P.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
*SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 Sri c Ca i�ozw xf '
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY -
Brian Poindexter
TITLE 2 Judge
CONTROL NO. 26684 CLERK-TREASURER