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31678 Paperlite City I,�/O ty o /' armel INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER 1. , FEDERAL EXCISE TAX EXEMPT 31678 35-60000972 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 DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 216/2014 Annual Laserfiche Support Paper-Lite Divison of Mathes Assoc., Inc. Carmel Communications • SHIP Terry Crockett VENDOR 1711 Wood Valley Drive TO 3 Civic Square Carmel, IN 46032 Carmel, IN 46032 (317)571-2567 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-515.02 1 Each Support renewal- LSAP-Forms Portal-Unlimited submitters/forms $1,600.00 $1,600.00 1 Each Support Renewal Laserfiche- LSAP-Quick Fields Classify $900.00 $900.00 1 Each Support Renewal Laserfiche- LSAP-Quick Fields Core $900.00 $900.00 1 Each LSAP-Laserfiche Public Portal License for due7CPU-unfmlted.users $9,000.00 $9,000.00 -or t 1111 f:::. : 1 Each Support Renewal Laserfiche LSAP•tImport agen[[[t[ - $300.00 $300.00 1 Each Support Renewal Laserfiche- L P-Rto scan connect,� /� $29.00 $29.00 126 Each Support • Iv �l �f pport Renewal LaserflcheALSAP,RR,o named users $138.00 $17,388.00 126 Each Support Renewal Laserfiche-LSAR fiIo'Named users forms supporia $13.80 $1,738.80 "� NiN i7 ve Sub Total: , $31,855.80 ' U (\ YA .."' : Iiid O Send Invoice To. - - - - ©V) l City of Carmel Terry Crockett 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1202 Carmel IS Dept. PAYMENT ' `$31,855.80 • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHE I SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED B91YRNNCE IN •SHIP REPAID. ?' THIS AP PRIATION S ■ • •AY FOR THE'BO ?+•DER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. .11.1 , do. - ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL - / / , i ` SHIPPING LABELS. , •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 ITLE''.. Director • AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 316 7 CLERK-TREASURER DOCUMENT CONTROL NO. OFFICE COPY