HomeMy WebLinkAbout31638 The Mirazon Group A INDIANA RETAIL TAX EXEMPT PAGE
City of Carmel CERTIFICATE NO.003120155 002 0
�a PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 31638
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 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
191'1012013 Citriz Services
The Mirazon Group Carmel Communications
VENDOR .. SHIP Terry Crockett
1640 Lyndon Farm Court, Suite 102 TO 3 Civic Square
Louisville, KY 40223 . Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43404.00
1 Each Professional Sys/upgrade of Citrix sys $5,000.00 $5,000.00
Sub Total: $5,000.00
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City of Camel
Terry Crockett
3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1202C3FlIS2y1_ MIS ,pt� PAYMENT S QO�
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT U LESS THa .
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 AN UNOBLIGATED BALANCE IN
THIS APP RIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. J�
•C O.D.SHIPMENTS CANNOT BE ACCEPTED /
. ORDERED BY /�/
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL L
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Director
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 31638 CLERK-TREASURER
OFFICE COPY'