32670 The Mirazon GroupCi
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
1
PURCHASE ORDER NUMBER
32670
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
3/9/2015
DataCore Support
The Mirazon Group
VENDOR 9640 Lyndon Farm Court, Suite 902
Louisville, KY 40223
SHIP
TO
Carmel Communications
Terry Crockett
3 Civic Square
Carmel, IN 46032
(317) 571-2567
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43- 515.02
1 Each Datacore Annual Support
Send Invoice To:
City of Carmel
Terry Crockett
3 Civic Square
Carmel, IN 46032-
Il'
"Includes Fre®DrillneTraii� gC la• s s ._
coverage period - 5/22/95 - 5/21/16
$5,500.00
Sub Total:
PLEASE INVOICE IN DUPLICATE
$5,500.00
$5,500.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
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. 32670
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.
• I HEREBY CERTIFY THAT THERE IS AN UNO9CIGATEDBALANCE IN
THIS A PfiOPRIATION SUFFICIENT-TO PAY%FO THE = n VE ORDER.
ORDERED BYi /%�/ 5`�iYl
TITLE Director
CLERK - TREASURER
OFFICE COPY