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CERTIFICATE NO.003120155 002 0
' .. f
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 56171
35-60000972
ONE CIVIC SCUARf ..............._............ ...........................................
CARMEL,INDIANA 4460.32-2E8.4 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
12/14/2021 12/19/21 27134 364950 Employee Time Clock Annual Subscription
TimeClock Plus Administration Office
3322 Loop 306 1411 E. 116th Street
VENDOR San Angelo, TX 76904 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET
,� .. ...... TERMS
. .... .. .......
CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
600.000 each Annual Employee Licenses 11/1/21 - 10/31/22 $ '; 9, �'�'�
GLAccount#1125101-4355200 L 3+ Ot Lo
I I � 5ID I -6 r
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT ..._._ .,�,. PROJECT L........ ,,,,PROJECT ACCOUNT AMOUNT
PAYMENT
• AIP 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 r .... -..... /;:ir`I- -
- THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Purchasing Administrator
CONTROLLER
DOCUMENT CONTROL NO. 56171 VENDOR COPY