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32139 Citrix Systemsof Carmel • ONE CIVIC SQUARE CARMEL, INDIANA 46032 -2564 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003120155 002 0 FEDERAL EXCISE TAX EXEMPT 35- 60000972 PAGE PURCHASE ORDER NUMBER 32139 THIS NUMBER MUST APPEAR ON INVOICES, AIP VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED •REQUISITION NO. VENDOR NO. DESCRIPTION 911 012 01 4 Citrix Support Renewal Citrix Systems, Inc. VENDOR 851 West Cypress Creek Road Fort Lauderdale, FL 33309 SHIP TO Carmel Communications r Terry Crockett 3 Civic Square Carmel, IN 46032 (317) 571-2567 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE Account 43- 515.02 1 1 1 1 1 1 Each Each Each Each Each Each Each Send Invoice To: DESCRIPTION Citrix XenApp (Presentation Server) Enterprise CM- 6367129 -69291 Citrix XenApp (Presentation Server) Enterprise CM- 6367129 -69291 Citrix XenApp (Presentation Server) Enterprise CM- 6925845 -38740 Citrix XenApp (Presentation Server) Enterprise.CM -6367129 -69291 Citrix XenApp �i! r r / / ��- rWpp (Presentation Server) Enterw CMc6367 129- 692$1 Citrix XenApp (Presentation Server) Ens rpri e CM- 63671299291 Citrix Access Gateway Univers9LGcenselLA- OQ1i68565 8425&7 City of Carmel Terry Crockett 3 Civic Square Carmel, IN 46032- PLEASEINVOICE IN DUPLICATE UNIT PRICE $970.00 $485.00 $485.00 $485.00 .,,$485.00 $970.00 $378.30 Sub Total: EXTENSION $970.00 $485.00 $485.00 $485.00 $485.00 $970.00 $378.30 $4,258.30 i DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 1202 Carmel IS Dept. 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. 32139 ORDERED BY • 1 TITL CLERK - TREASURER OFFICE COPY PAYMENT • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE RO, NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. • I HEREBY CERTIFY THAT THERE 15 AN UNOBLIGATED BALANCE IN THIS APPR•PRIATION SUFFICIENT 0 PAY FOR THE ABOVE ORDER. AMOUNT $4,258.30