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Chit ®f cjjjrjiuije]I CERTIFICATE NO.003120155 002.0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102717
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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 � -�j
3/11/2019 365242 Co-Term renewal for DataCore Support r_9
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MIRAZON GROUP ICS
VENDOR 1640 LYNDON FARM COURT SUITE 102 SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
LOUISVILLE, KY 40223- Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
34491
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 43-515.02
1 Each DataCore SANsymphony-1 year renewal $11,144.00 $11,144.00
Sub Total $11,144.00
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Send Invoice To: ,,
ICS Quote No.013380 v2
Timothy Renick
31 1st Avenue N.W.
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Carmel, IN 46032- , .. ;,�
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT N ACCOUNT Q PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $11,144.00
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 LABE ��
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 ����% (.
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick James Crider
TITLE Director Administration
CONTROL NO. 102717 CLERK-TREASURER