HomeMy WebLinkAbout102976 MCCI INNOVATIONS ity
INDIANA RETAIL TAX EXEMPT ' P age 1 of 1
Cof Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 02976
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL,INDIANA 46032-2584 VOUCFIER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELSIAND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
6/26/2019 369620
MCCI INNOVATIONS Human Resources
VENDOR PO BOX 2235 SHIP 1 Civic Square
TO Carmel, IN 46032-
TALLAHASSEE, FL 32316-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS 1I FREIGHT
37475
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE : EXTENSION
Department: 1201 Fund: 101 General Fund
Account: 43-419.03
• 1 Each Software support fees $924.00 $924.00
Sub Total $924.00
1
j 7( 3
Send Invoice To: R _
Human Resources ' �� � � �� ��
1 Civic Square
` icy 1L i;
Carmel, IN 46032- ' r :
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $924.00
SHIPPING INSTRUCTIONS 'AIP 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 �J!,, � 'l
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 /4LwJL,,,�� ti-- ,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY - ,
Barbara Lamb
TITLE Director
CONTROL NO. 1 02976 CLERK-TREASURER
I I