HomeMy WebLinkAbout53923 CERVIS TECHNOLOGIES INDIANA RETAIL TAX EXEMPT PAGE 1
� y CERTIFICATE NO.003120155 002 0
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pr I PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 53923
35-60000972
ONE CIVIC SQUARE
CARMEL, INDIANA 46 0 32-2 5 84 THIS NUMBER MUST APPEAR ON INVOICES,AP
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
12/31/2019 12/23/19 22210 371598 2020 Volunteer Software Renewal
Cervis Technologies Parks Maintenance
PO Box 64181 1427 E. 116th Street ATTN: Courtney
VENDOR Colorado Springs, CO 80962 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE 7' EXTENSION
1.000 each Premier Edition Account Annual Renewal 1/1/20-12/31/20 $ 1,800.000 $ 1,800:00
GLAccount#1125401-4355200
Send Invoice To:
$ 1,800.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• AIR 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 Joanna Woodruff
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 53923 VENDOR COPY