HomeMy WebLinkAbout53561 ZAMORINS SOLUTIONS, INC INDIANA RETAIL TAX EXEMPT PAGE 1
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//��E,E ,CERTIFICATE NO.003120155 002 0
I PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 53561
35-60000972
ONE CroC SQUARE
CARMEL,II'V 1M1ri•= .nv2-2" THIS
NUMBHER,ER MUST APP MPEARPACKING ON CEES,
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
9/19/2019 09/21/19 21446 372171 Playground Inspection Online Subscription
Zamorins Solutions, Inc/ParkZapp Parks Maintenance
5730 NW 4t CT 1427 E. 116th Street ATTN: Courtney
VENDOR Des Moines, IA 50313 To P Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Annual Subscription-2 users,2 admin and up to 15 $ 1,410.000 $ 1,410.00
playgrounds- 11/7/2019-11/7/2020
GLAccount#1125401-4355200
Send Invoice To:
$ 1,410.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED 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 Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 \
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER \.
DOCUMENT CONTROL NO. 53561 VENDOR COPY