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CERTDIIFICA EENOI 0031015 0020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
101486
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
3/13/2018 371503 Fatpipe Annual Maintenance
PCMG, INC ICS
VENDOR SHIP 31 1st Avenue N.W.
FILE 55327 TO Carmel, IN 46032-
LOS ANGELES, CA 90074--5327 Timothy.Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
24123
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 43-515.01
2 Each Gold Plus Service 50-200MB-4U $2,800.00 $5,600.00
Sub Total $5,600.00
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Send Invoice To: i
ICS ��..,�..�.... �� � �;
''Quote No. B0728892 /f
Timothy Renick
31 1st Avenue N.W. z
Carmel, IN 46032- -,
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT Y AMOUNT
PAYMENT $5,600.00
SHIPPING INSTRUCTIONS *MP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
*SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
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 ' \ti .c-.)
Timothy Renick lames Crider
TITLE Director Administration ��
CONTROL NO. 101486 CLERK-TREASURER