31697 The Mirazon Group ,�,, Carmel INDIANA RETAIL TAX EXEMPT PAGE
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�I ®¢ � CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
\�/ �� FEDERAL EXCISE TAX EXEMPT
31697
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
2/2512014 ' Datacore Annual Support
The Mirazon Group Carmel Communications
Terry Crockett
SHIP
VENDOR
1640 Lyndon Farm Court, Suite 102 TO 3 Civic Square
Louisville, KY 40223 Carmel, IN 46032
(317)571-2567
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE! DESCRIPTION UNIT PRICE EXTENSION
Account 43415.02
2 Each Datacore Annual Support $2,750.00 $5,500.00
as.
Sub Total: $5,500.00
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Quote No.AAA0711784 Coverago Perlot5122/14`-5121/15
Send Invoice To: si
City of Carmel
Terry Crockett
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
1202 Carmel IS Dept. PAYMENT $5,500.00
• NP 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 UNOBLIGAT aBALANCE IN
•SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR Ta—4 BOVt ORDER. A
•GO.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY -i I.7/ I -�- -
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Direct,-
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
• AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER ,
DOCUMENT CONTROL NO. 31697 OFFICE COPY