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City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100902
ONE CIVIC SQUARE ! 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
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
111912017 00350659 City of Carmel Network and Server Assessment
KSM CONSULTING, L.L.C. Information Systems
VENDOR P.O. BOX 7096 SHIP 3 Civic Square
DEPT.236 TO Carmel, IN 46032-
INDIANAPOLIS,IN 46206- Timothy Renick (317)571-2567
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
20571
QUANTITY + UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1202 Fund: 101 General Fund
Account: 43-404.00
1 Each City of Carmel Network and Server assessment $35,000.00 $35,000.00
Sub Total $35,000.00
Send Invoice To:
Information Systems
Timothy Renick
3 Civic Square
Carmel, IN 46032-
(317)571-2567 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $35,000.00
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 LABEL
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY -
Timothy Renick James Crider
TITLE Director Administration O
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CONTROL NO. 100902 CLERK-TREASURER `�