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City
of Inririnie1 CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102017
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
10/18/2018 371503 Veeam Renewal Expires 12/22/19
PCMG, INC ICS
VENDOR SHIP 311stAvenueN.W.
FILE 55327 TQ Carmel, IN 46032-
LOS ANGELES,CA 90074--5327 Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
30176 l
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 ' Fund: 101 General Fund
Account: 43-515.02
1 Each Veeam Renewal $4,152.00 $4,152.00
Sub Total $4,152.00
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Send Invoice To: `_. ''
ICS Quote No.936966-LIF1 Do
Timothy Renick
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31 1st Avenue N.W.
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Carmel, IN 46032-
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $4,152.00
SHIPPING INSTRUCTIONS `AQP 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 `�fy -=�'� '
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY �k
Timothy Renick
TITLE Director
CONTROL NO. 102017 CLERK-TREASURER