32069 QUMU CorporationCi
of C
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
Il
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
32089
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
6/2412014
1
Qumu Corporation
VENDOR
7725 Washington Avonuo South
JInnoapolis, MN 66430
SHIP
TO
Cannel Polico Dopartmont
3 Civic Squara
Camtol, IN 46032
(317) 571
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 42402.00
5 Each DVD-R Everest White
4 Each Retrensfer Roll E600/400 (500 prints)
4 Each CMY 11 Ribbon E600/400 (500 prints)
Send Invoice To:
Cannol Police Dopartmont
Attn: Rat Young
3 Civic 8quaro
Cannot, IN 46032-
2002472
2001469
2002161
PLEASE INVOICE IN DUPLICATE
$41.87
$38.88
$121.67
Sub Total:
$208.35
$155.52
$486.68
$850.56
DEPARTMENT
Carmel Police Dept.
ACCOUNT
PROJECT
PROJECT ACCOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
. AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 32069
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
A/P 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'. WORN AFFIDAVIT ATTACHED.
I HEREBY CERTIFY T T RE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIA N : r ICIENT TO PAY FOR THE ABOVE ORDER.
AMOUNT
.555