HomeMy WebLinkAbout100538 MCCI INNOVATIONS INDIANA RETAIL TAX EXEMPT Page 1 of 1
'City of Carmel 1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER li
FEDERAL EXCISE TAX EXEMPT 100538 ,�
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
I 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 , \
6/23/2017 369620
Laser fiche licenses N
MCCI INNOVATOINS Dept of Community Service
VENDOR PO BOX 2235 SHIP 1 Civic Square
TO Carmel, IN 46032-
TALLAHASSEE, FL 32316-
T
PURCHASE ID ' BLANKET CONTRACT PAYMENT TERMS FREIGHT
16531
QUANTITY I UNIT OF -.-
MEASURE DESCRIPTION UNIT PRICE 1 EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 43-515.02
1 Each Annual Software Support-Basic LSAP $304.80 $304.80
1 Each Electronic Forms for RIO $1,320.00 $1,320.00
Sub Total $1,624.80
/IN
r \
I I' ,i
, 3
' I
t \ '" ' '''-'''''-;4 '',-, _, : 111-
-, /Send Invoice To: `, x�� �>-���; ,����� s _ �`�tiT
Dept of Community Service ;\ '`\ /
/. E,
-.` _, /
1 Civic Square v, Iry �E ._ !�,-
Carmel, IN 46032-
PLEASE i s •m
,/
,/
INVOICE IN DUPLICATE
I DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT j AMOUNT
PAYMENT $1,624.80
SHIPPING INSTRUCTIONS *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
*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 LABE
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 77,v7 -C►-QS%
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Mike Hollibaugh
TITLE Director
CONTROL NO. 1 00538 CLERK-TREASURER