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ci .it of CIiiritiie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100661
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY MEMO.PACKING SLIPS,
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
811712017 365242 Professional Services-Servers and applications inventory
MIRAZON GROUP Information Systems
VENDOR 1640 LYNDON FARM COURT SUITE 102 SHIP 3 Civic Square
TO Cannel,IN 46032-
LOUISVILLE, KY 40223- Terry Crockett (317)571-2567
PURCHASE ID I BLANKET CONTRACT PAYMENT TERMS FREIGHT
18208
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1202 Fund: 101 General Fund
Account: 43-419.55
1 Each Professional Services-Engineer Rate $2,380.00 $2,380.00
1 Each Professional Services-Specialist Rate $1,560.00 $1,560.00
Sub Total $3,940.00
Send Invoice To:
Information Systems Quote No.008428
Terry Crockett
3 Civic Square
Carmel, IN 46032-
(317)571-2567 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $3,940.00
*NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS 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 _ i/
ORDERED BY
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 %7`7ry r'
—
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. Timothy Renick �Do
TITLE Director
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CONTROL NO. 100661 CLERK-TREASURER `