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®f Cairirnel I CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100933
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 371503 Veeam Agents
PCMG,INC Information Systems
VENDOR SHIP 3 Civic Square
FILE 55327 TO Carmel, IN 46032-
LOS ANGELES,CA 90074--5327 Timothy Renick (317)571-2567
PURCHASE ID BLANKET CONTRACT 1 PAYMENT TERMS FREIGHT
20770
QUANTITY UNIT OF
MEASURE F DESCRIPTION UNIT PRICE EXTENSION
Department: 1202 Fund: 101 General Fund
Account: 44-632.02
2 Each P-VAG000-0R- Veeam Agents Licensing for Microsoft Windows srvr $125.00 $250.00
S01 YP-00
Sub Total $250.00
Send Invoice To:
Information Systems Quote Dated: 11/3/17
Timothy Renick
3 Civic Square
Carmel, IN 46032-
(317)571-2567 PLEASE INVOICE___ IN DUPLICATE
DEPARTMENT ACCOUNT , PROJECT j PROJECT ACCOUNT 9 AMOUNT
PAYMENT $250.00
SHIPPING INSTRUCTIONS *A/P 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 ,
\ t
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick `\
TITLE Director
CONTROL NO. 100933 CLERK-TREASURER