51464 MCCI INNOVATIONS INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
� Carrel City 4 FEDERAL EXCISE TAX EXEMPT
35-60000972 51464
ONE CMC SQUARE
CARMEL Ij.fa„",,[AI:Irz�ec32-2S THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
•
5/31/2018 06/05/18 16583 7j(4�� Laserfiche Licenses
MCCi, LLC 1/W ' Administration Office
PO Box 2235 1958-A Commonwealth Lane 1411 E. 116th Street
VENDOR Tallahassee, FL 32316-32303 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
3.000 each ECM Software Licensing for Rio- 100-199 Users $700.0000 $2,100.00
3.000 each LF Forms Professional 100-199 Users $70.0000 $210.00
3.000 each Software Support Rio 100-199 Users $ 140.0000 $420.00
3.000 each Software Support LF Forms Professional 100-199 Users $ 14.0000 $42.00
GLAccount#1125101-4358300
Send Invoice To:
$2,772.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT
• 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
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 Dawn Koepper 1L
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 \"�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE 1^\\\1\
CLERK-TREASURER \Q) V� \
DOCUMENT CONTROL NO. 51464 VENDOR COPY v �l