HomeMy WebLinkAbout52285 ON-RAMP INDIANA i INDIANA RETAIL TAX EXEMPT `PAGE 1
s, '.. .... ' « CERTIFICATE N0.003120155 002 0
`� _ I PURCHASE ORDER NUMBER
. . Carmel
FEDERAL EXCISE TAX EXEMPT I 52265
35.60000972
3
CARFMEL,INIYIAHA.'460.Z-2.8.4. THIS NUMBER MUST APPEAR ON INVOICES,AIP
VOUCHER DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 _.._..._....._...._._.._ _._._..._..........._......._i
PURCHASE ORDER DATE; DATE REQUIRED I REQUISITION NO. 1 VENDOR N0, DESCRIPTION
1/2/2019 1 12/23/18 18448 i 233463 2019 Recurring IT Charges
On-Ramp Indiana Administration Office
859 Conner St 1411 E. 116th Street
VENDOR Noblesville, IN 46060 SHISo P Carmel,IN 46032
CONFIRMATION j BLANKET 1 CONTRACT PAYMENT TERMSI FREIGHT
I
QUANTITY i UNIT OF MEASURE( DESCRIPTION UNIT PRICE EXTENSION
$12.0000 each IT Monthly Maintenance-Jan 2019-Dec 2019 544.950 $6,539.40
$1.0000 each IT Maintenance Yearly-Jan 2019-Dec 2019 748.950 $748.95
GLAccount#1125101-4341955
Send Invoice To:
$7,288.35
PLEASE INVOICE IN DUPLICATE
( { PROJECT ACCOUNTj
_._....,..._.M........DEPARiMENf._.... .Wf................�_..___..._._ACCOUNT...................._._..........„_.S ....W.. _....._._PROJECT....................___...____...I„._..__...—. ._ ..........:_..._..,.__....._.........e._............_...AMOUNT_..._....._..............._........._
PAYMENT
• ANP 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
▪ C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER p
DOCUMENT CONTROL NO. 52265 VENDOR COPY