HomeMy WebLinkAbout54596 ZAMORINS SOLUTIONS INC INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
x
11,1, dik PURCHASE ORDER NUMBER
II.. " FEDERAL EXCISE TAX EXEMPT
54596
35-60000972
DUE UWIU SQUARE
CARMEL,, INaNIl1 IUD „„46032—.25,8,4 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
7/7/2020 07/11/20 23611 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 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each Annual Subscription Change 8/1/20-7/31/2021 -7users, 2 $2,100.000 $2,100.00
admins, up to 20 playgrounds
1.000 each Credit on 2019-2020 Subscription for 8/1/20 - 11/5/20 $-372.000 $ -372.00
GLAccount# 1125401-4355200
Send Invoice To:
$ 1,728.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 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 ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 54596 Il,,,;;;III DOR COPY