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City of Iairririe1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103368
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
12/5/2019 372128 Support to migrate from Central Square's server to Avolve's
server
SUPERION, LLC Dept of Community Service
VENDOR BANK OF AMERICA SHIP 1 Civic Square
12709 COLLECTION CENTER DRIVE TO Carmel, IN 46032-
CHICAGO, IL 60693
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
42236
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 43-515.02
1 Each Software.Support $2,320.00 $2,320.00
Sub Total $2,320.00
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Send Invoice To: `
', \ 7 ,
Dept of Community Service
1 Civic Squarei,, 1-` ,- ,s.
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT Y ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $2,320.00
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 LABEL /�7f/� Nc)\
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ! �
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Mike Hollibaugh
TITLE Director �1
CONTROL NO. 103368 CLERK-TREASURER "