50750 ZAMORINA SLOUTIONS •
A
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CERTIFICATE NOIL 03120155 002 0
I " EXEMPT PAGE 1
1 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
50750
35-60000972
..;ONE.CIVIC SQUARE•
CARitIEL,ItItIlAtIk48032:2584 THIS NUMBER MUST APPEAR ON INVOICES,AIP. .
VOUCHER.DELIVERY MEMO,PACKING SUPS,
FORM APPROVED BY STATE.BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 . SHIPPING PIN LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION-NO. VENDOR NO DESCRIPTION
New Vendor•:
1/9/2018 01/01/18 . 14880 (W-9 attached:. 'Playground inspection online app subscription
Zamorins Solutions,Inc/ParkZapp Parks Maintenance
5730 NVENDOR Des Moines,IA 50313 .
SHIP Carmel, IN 460 4t CT 1427 E. 116th 2eetATTN :Courtney
TO
...CONFIRMATION BLANKET, CONTRACT: .,. , PAYMENT TERMS FREIGHT ._ . . ... ..
QUANTITY UNIT OF MEASURE : DESCRIPTION UNIT PRICE I EXTENSION
1.000 : : each Annual subscription for ParkZapp Starter:Plan Subscription-5: :$1,220.0000 $1,220:00
users with 2 admins,and up to 15 playgrounds-1/10/18-
1/9/19
GLAccount#1125401=4355200
Send Invoice To:.
$1,220.00
PLEASE INVOICE IN-DUPLICATE
.:. .. DEPARTMENT_ . ,.I` .ACCOUNT .:, . .r. .. ...•PROJECT. .L'.
PROJECT ACCOUNT - I .:. AMOUNT. .:. .
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 SWORN
SHIPPING INSTRUCTIONS- AFFIDAVIT ATTACHED.
• - . I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN.THIS APPROPRIATION
• SHIP REPAID.- - - SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• . C.O.D SHIPMENTS CANNOT BE ACCEPTED. .:. .'. ... :. ... -.- - ... ... ....
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS.
ORDERED BY Michael Allen
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945..
AND ACTS AMENDATORY THEREOF ND SUPPLEMENT ThERETO .. .
TITLE.
CLERK-TREASURER
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DOCUMENT CONTROL NO. 50750. VENDOR COPY \\,4\.1