HomeMy WebLinkAboutMobycon, Inc./DOCS/$25,000/Masterclass Training & Travel Expenses - ASACzBmmjtpoMzodi.NdHsbuibu21;22bn-Opw38-3134
DocuSign Envelope ID: 3C2AC1A0-352E-4C87-8ACB-016FB5EE24A8
12/6/2023
12/6/2023
12/6/2023
12/6/2023
Exhibit A
DocuSign Envelope ID: 3C2AC1A0-352E-4C87-8ACB-016FB5EE24A8
DocuSign Envelope ID: 3C2AC1A0-352E-4C87-8ACB-016FB5EE24A8
DocuSign Envelope ID: 3C2AC1A0-352E-4C87-8ACB-016FB5EE24A8
DocuSign Envelope ID: 3C2AC1A0-352E-4C87-8ACB-016FB5EE24A8
DocuSign Envelope ID: 3C2AC1A0-352E-4C87-8ACB-016FB5EE24A8
DocuSign Envelope ID: 3C2AC1A0-352E-4C87-8ACB-016FB5EE24A8
DocuSign Envelope ID: 3C2AC1A0-352E-4C87-8ACB-016FB5EE24A8
DocuSign Envelope ID: 3C2AC1A0-352E-4C87-8ACB-016FB5EE24A8
11/20/2023
MOBYCON INC
SUITE 100
DURHAM, NC 27701 -
110324
555 SOUTH MANGUM ST
City of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-6000972
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR SHIP
TO
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
EXTENSION
Training services on connectivity
Dept of Community Service
1 Civic Square
Carmel, IN 46032-
377377
UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY
Page 1 of 1
82563
1192Department:101Fund:General Fund
43-404.00Account:
Travel expenses for incomingtraining1 $25,000.00 $25,000.00Each
25,000.00SubTotal
25,000.00
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
SHIPPING INSTRUCTIONS
SHIP PREPAID.
C.O.D. SHIPMENT CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
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
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
CONTROL NO. 110324
ORDERED BY
TITLE
CONTROLLER
Dept of Community Service
1 Civic Square
Carmel, IN 46032-
Mike Hollibaugh James Crider
Director Director of Administration
DocuSign Envelope ID: 3C2AC1A0-352E-4C87-8ACB-016FB5EE24A8