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CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100932
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
11/16/2017 357199 Firewall-IT
INNOVATIVE INTEGRATION, INC Fire Department
VENDOR 3905 VINCENNES ROAD SUITE 110 SHIP 2 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS,IN 46268-
PURCHASE ID BLANKET CONTRACT 1 PAYMENT TERMS FREIGHT
20769
• QUANTITY UNIT OF MEASURE T DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-632.01
1 Each Fortifate 200E Plus 3 year 24x7 FortiCare and FortiGuard $21,925.00 $21,925.00
UTM Bundle and Services
1 Each Quote#JP-004063 $0.00 $0.00
Sub Total $21,925.00
Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT y PROJECT ACCOUNT 1 AMOUNT
PAYMENT $21,925.00
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 , " cA44.-43 C......:„4"
-6
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY - ----- ----
Denise Snyder James Crider
TITLE Budget&Accreditation Manager Administration \X +!
CONTROL NO. 100932 CLERK-TREASURER `1