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City of Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
•
•� FEDERAL EXCISE TAX EXEMPT 3I 1 cl •
35-60000972 G..J .
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES.AIR
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
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VENDOR �- I V\•J G T CA SHIP
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT .
OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION•
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Send Invoice To: 7POQ UU O
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
)ZA Th9 - 03 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 AN UNOBLIGATED BALANCE IN
•
THIS APPROPRIATION SUFFICIENT TO PAY FOR HE ABOVE ORDER.
•SHIP REPAID. / o--- "-
, •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE `-
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 31651 CLERK-TREASURER •
OFFICE COPY
•
NEOGOVTM Invoice
222 N.Sepulveda Blvd.
Suite 2000 Date Invoice p
El Segundo,CA 90245
12/9/2013 07-11039
Bill To
City of Carmel
City of Carmel- Human Resources
One Civic Square
Carmel, IN 46032
Attn: Barbara Lamb
Please make checks payable to Governmentjobs.com, Inc. P.O.No. Terms Due Date
(EIN/Tax Payer ID: 33-0888748) Net 30 1/8/2014
Item Description Amount
License-IE-Renewal Twelve(12)Month Insight Enterprise User License(From 2/4/14 to 6,300.00
2/3/15)
Pay your bills online at:
https://www.intuitbillpay.com/neogov
CA (5c /,' = 471 3, )5o
F�(2c2 I� = ) ) g2_7
n l_ ) ))32-15
C t�J_1
3c°
Total $6,300.00
Payments/Credits $0.00
For billing questions please call (310)426-6304 x134 or x110.
Or email us at accounting @neogov.com Balance Due
$6,300.00