32655 MCCICi of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
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
32655
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
I
DESCRIPTION
1 2/2/2015
Laserfiche Support
MCC'
VENDOR P.O. Box 2235
Tallahassee, FL 32316
SHIP
TO
Carmel Communications
Terry Crockett
3 Civic Square
Carmel, IN 46032
(317) 571 -2567
CONFIRMATION
•
BLANKET
CONTRACT .
PAYMENT TERMS
I
FREIGHT
QUANTITY UNIT OF MEASURE
DESCRIPTION
Account 43- 515.02
1 Each Quick Fields Core Package for Rio
1 Each Quick Fields Classify Package for Rio
1 Each Public Portal- Dual CPU Machine
1 Each LF Scanconnect for Rio
1 Each LF Forms Portal
128 Each LF Forms 100 -199 Users (10% Add-on
1 Each Import Agent for Rio
128 Each Rio 100 -199 Users
UNIT PRICE
EXTENSION
Send Invoice To:
City of Carmel
Terry Crockett
3 Civic Square
Carmel, IN 46032-
Period Covered`
PLEASE INVOICE IN DUPLICATE
$900.00
$900.00
$9,000.00
$29.00
$1,600.00
$13.80.
$300.00
$138.00
Sub Total:
$900.00
$900.00
$9,000.00
$29.00
$1,600.00
$1,766.40
$300.00
$17,664.00
$32,159.40
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.
ORDERED BY
PAYMENT
• 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.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE /A-r QVE!RDER.
/i
AMOUNT
$32,159.40
.
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TITLE
CLERK- TREASURER
DOCUMENT CONTROL NO. OFFICE COPY