101626 PCMG, INC it)T INDIANA RETAIL TAX EXEMPT Page 1 of 1
ciof ci1airinrie1 CERTIFICATE NO.0031201550020 PURCHASE QRDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101626
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
ORM APPROVED BY STATE BOARD QF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE PATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
4/30/2018 371503 ExaGrid renewals for 21000 and 32000
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
25476 ,
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 43-515.01
1 Each ExaGrid renewal for EX21000,32000 $16,766.00 $16,766.00
Sub Total $16,766.00
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Send Invoice To: f.
ICS .Quote dated 4/24118 3"
Timothy Renick ", ,, �
31 1st Avenue N.W.
Carmel, IN 46032- "`-- i :a ,
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $16,766.00
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
'3HIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
;.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
i'URCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL ��—, O ,
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945'y am � ��f-u`-.f (_. _ >E
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick James Crider 4)/k)
TITLE Director Administration �\n)
CONTROL NO. 101626 CLERK-TREASURER n__4