HomeMy WebLinkAbout103506 REGIONS EQUIPMENT FINANCE CityvINDIANA RETAIL TAX EXEMPT Page 1 of 1
ofCc!]�anal CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
( J1 FEDERAL EXCISE TAX EXEMPT 103506
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
12/12/2019 371726 Partial payments for Jan and July 2020 Cityworks
REGIONS EQUIPMENT FINANCE Dept of Community Service
VENDOR PO BOX 11407 SHIP 1 Civic Square
TO Carmel, IN 46032-
BIRMINGHAM,AL 35246--1001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
42645
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 43-515.02
1 Each Cityworks Software $43,275.54 '$43,275.54
Sub Total $43,275.54
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Send Invoice To: N
Dept of Community Service ? ,E
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $43,275.54
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
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Mike Hollibaugh James Crider
TITLE Director Administration
CONTROL NO. 1 03506 CLERK-TREASURER