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City ®f ( ]r]J114e]J. CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103279
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
11/20/2019 365242 0365 Project
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
41730
QUANTITY UNIT OF MEASURE DESCRIPTION -UNIT PRICE - EXTENSION
Department 1115 Fund: 101 General Fund
Account:.43-404.00
1 Each 0365 Project consulting $19,000.00 $19,000.00
Sub Total $19,000.00
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Send Invoice To:
Timothy Renick
31 1st Avenue N.W. ` s.
�:H )4 .„�
Carmel, IN 46032- ,nY
(317)571-2576
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $19,000.00
SHIPPING INSTRUCTIONS 'AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
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 ' _ u.-t1 C
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick James Crider
TITLE Director Administratio `Vh�
CONTROL NO. 103279 CLERK-TREASURER