HomeMy WebLinkAbout28977 On Ramp CAT Carmel INDIANA RETAIL TAX EXEMPT PAGE
(j CERTIFICATE NO. 003120155 002 0 �Ly ..FFii PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 28977
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A'P
CARMEL, INDIANA 46032 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
9/20/2011 1 Monthly server maintenance
On -Ramp AO
859 CON Nt✓R ST SHIP
VENDOR NUBL-ESV t Li.. 11.4 4(aOLoD TO
GONFIRMATON BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
3 mos. Monthly server maintenance Oct, Nov, Dec 1,535.00 4,605.00
1 1 a
I
Ili:-
t i i
k
i
f C
V i 'A
11 r
..1 y i r F
I
J
t f
Send Invoice To
4,605.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
1125 -1 -01- 4341955 Info Sys maint/contracts 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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS BALANCE IN
THIS APPROPRIATION SUFFICIENT l0 PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Michael Klitzing PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. 1 i
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE c 1 2 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. III 7 r- 1
28977 CLERK TREASURER
DOCUMENT CONTROL NO. VENDOR COPY