37165 On-Ramp Indiana l .. , INDIANA RETAIL TAX EXEMPT PAGE 1
Cityof �1 C� ��� CERTIFICATE Na 0034204 55 002 0 PUITCI IASF-OIIUF.IT NUMSER
} FEDERAL EXCISE TAX EXEMPT 37165
35-60000972
Flits NUMBER MUST APPEAR ON INVOICES,NP
-- "'- - VOUCHER,OEI IVERY MEMO,PACKING SI IPS,
SI LIPPING I ABETS AND ANY CORRESPONUBNCII.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CFI V OF CARMEN 1997
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PURGI 1ASF ODDER DATE I DATE REQUITED 0 I HFQUISITIOf.NO VENDOR NO DESCRIPTION
6/12/2014 106/15/14 11892 IT Services 2014-2015
On-Ramp Indiana Administration Office
859 Conner St 1411 E. 116th Street
VENDOR Noblesville, IN 46060 TgIP Carmel, IN 46032
CONFIHMA I ION HIANKBI I CON I RAC I PAYMENT IPRMS FRfIG111
QUANTIFY I_UNIT OF METASUITP.1 DISCIJP:NON UNIT PRICE _ I EX TENSION
11.000 each IT Monthly Maintenance -July 2014-May 2015 $ 1,330.00 $ 14,630.00
1.000 each IT Maintenance Yearly- July 2014-May 2015 $4,156.85 $4,156.85
GLAccounttt 1125101-4341955
Send Invoice To:
$ 18,786.85
PLEASE INVOICE IN DUPLICATE
OIIA @IMBN1 ACCOUNT - EROTIC PItOJBGI MCOUNI--- AMOUNT
11•c./ 5 34 ' '7 PAYMENT
• AN 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATEU BALANCE IN THIS APPROPRIATION
51111'HLPNII. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. CO_ D SIIIPMEN IS CANNOT BI'ACCEPT II). •
• PURCIIASII ORDI R NUMBER MUST APPEAR ON AI I SI IIPPENC I ABETS. ORDERED BY Dawn Koepper L'
• AND o I S A A GM ISSUID I IN COIt.PHEOF A WI I CHAP I N 99.ACTS O.
ANU ACTS AMI.OaAl OHS 11 RNE01 ANI)SUPPI EMI NI Il lliRlFl O.
TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 37165 M- ""I "_