100887 EVERBRIDGE, INC. ; INDIANA RETAIL TAX EXEMPT Page 1 of 1
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CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
, FEDERAL EXCISE TAX EXEMPT 1 00887
6000972 ONE CIVIC SQUARE �- 35-6000972
THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/7/2017 369308
EVERBRIDGE,INC. Cannel Police Department
VENDOR PO BOX 740745 SHIP 3 Civic Square
TO
Cannel, IN 46032-
LOS ANGELES,CA 90074--0745 Blaine Mallaber
PURCHASE ID j BLANKET CONTRACT PAYMENT TERMS FREIGHT
20537 I
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-515.02
1 Each Annual maintenance agreement $3,824.54 $3,824.54
Sub Total $3,824.54
Send Invoice To
Cannel Police Department
Accounts Payable
3 Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
g -- -- ---- -- ----
DEPARTMENT 1 ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $3,824.54
SHIPPING INSTRUCTIONS 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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 PAZ Jyfy.rorr.
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ---- —
Jeffrey Horner \
TITLE Deputy Chief /`J
CONTROL NO. 100887 CLERK-TREASURER 4-4k