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101486 PCMG, INC IN ANA L EXEMPT Page 1 of 1 ci:it ®fi: Ir]rr1e]1 CERTDIIFICA EENOI 0031015 0020 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 101486 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 3/13/2018 371503 Fatpipe Annual Maintenance PCMG, INC ICS VENDOR SHIP 31 1st Avenue N.W. FILE 55327 TO Carmel, IN 46032- LOS ANGELES, CA 90074--5327 Timothy.Renick (317)571-2576 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 24123 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1115 Fund: 101 General Fund Account: 43-515.01 2 Each Gold Plus Service 50-200MB-4U $2,800.00 $5,600.00 Sub Total $5,600.00 a i z E Send Invoice To: i ICS ��..,�..�.... �� � �; ''Quote No. B0728892 /f Timothy Renick 31 1st Avenue N.W. z Carmel, IN 46032- -, (317)571-2576 PLEASE INVOICE IN DUPLICATE DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT Y AMOUNT PAYMENT $5,600.00 SHIPPING INSTRUCTIONS *MP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A *SHIP PREPAID. 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 *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 ' �t AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ' \ti .c-.) Timothy Renick lames Crider TITLE Director Administration �� CONTROL NO. 101486 CLERK-TREASURER