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104637 THE BROOKFIELD GROUP LLC
Page 1 of 1 INDIANA RETAIL TAX EXEMPT $*/0!-)!$&.,(+ CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER 104637 FEDERAL EXCISE TAX EXEMPT 35-6000972 ONE CIVIC SQUARE ;12: 6<5+.9 5<:; *88.*9 76 26=72,.:# *%8 =7<,1.9# -.42=.9? 5.57# 8*,3260 :428:# CARMEL, INDIANA 46032-2584 :1288260 4*+.4: *6- *6? ,799.:876-.6,. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Clearpass Device Insights QPA # 13079 12/8/2020371573 THE BROOKFIELD GROUP, LLC ICS VENDOR12400 NORTH MERIDIAN STREET SHIP 31 1st Avenue N.W. TO SUITE 180 Carmel, IN 46032- CARMEL, IN 46032 - Timothy Renick(317) 571-2576 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 52189 QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION Department:Fund: 1115101General Fund Account: 43-556.00 1EachClearPass Device Insight$25,200.00$25,200.00 Sub Total$25,200.00 Send Invoice To: ICSQuote No. 7552 QPA # 13079 Timothy Renick 31 1st Avenue N.W. Carmel, IN 46032- (317) 571-2576 PLEASE INVOICE IN DUPLICATE DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT $25,200.00 +"0($). " %$2 716',)3 '%0015 &) %22317)( *13 2%9/)05 60.)44 5,) 2#1# 06/&)3 -4 /%() % -&'++')% ')-.,/#.'*)- 2%35 1* 5,) 716',)3 %0( )7)39 -071-') %0( 716',)3 ,%4 5,) 2312)3 48130 ":128 89.8*2-$ %**-(%7-5 %55%',)(# - ,)3)&9 ')35-*9 5,%5 5,)3) -4 %0 601&.-+%5)( &%.%0') -0 ",$7$-$ :1285.6; ,*667; +. *,,.8;.-$5,-4 %223123-%5-10 46**-'-)05 51 2%9 *13 5,) %&17) 13()3# "8<9,1*:. 79-.9 6<5+.9 5<:; *88.*9 76 *44 :1288260 4*+.4 ";12: 79-.9 2::<.- 26 ,75842*6,. >2;1 ,1*8;.9 ))# *,;: &)'( ORDERED BY *6- *,;: *5.6-*;79? ;1.9.7/ *6- :<884.5.6; ;1.9.;7$ Timothy Renick TITLEDirector 104637 '10531. 01# CLERK-TREASURER