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CERTIFICATE NO.003120155 002 0
�111, PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 54995
35-60000972
ONE U WIU SOUARE
CARMEL, IFlI11 1UU „„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
11/25/2020 11/29/20 24504 Possible new Vendor New Volunteer Software Agreement for 2021
W-9 attached
Neon One, LLC Administration Office
4545 N Ravenswood Ave 2nd Floor 1411 E. 116th Street
VENDOR Chicago, IL 60640 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each Website Template Copies $300.000 $ 300.00
4.000 each Training Hours $ 150.000 $ 600.00
GLAccount# 1125101-4341955 = $900.00
1.000 each Custom Data Conversion Package $ 1,999.880 $ 1,999.88
GLAccount# 1125101-4463202 = $ 1,999.88
Send Invoice To:
$2,899.88
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 Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 54995
II......IN IIL...° R COIIfDY