51647 PRESIDIO INFRASTRUCTURE SOLUTIONS LLC INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
City
o� Carmel _ PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 51647
35-60000972
ONE C;/IC SQUARE
C..4.RI,1_I,'t•( 11I,-_:_C 2-354, THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
7/5/2018 07/08/18 16986 371044 Ad Hoc Services per IT Contractor
Presidio Infrastructure Solutions LLC Administration Office
12120 Sunset Hills Road Suite 202 1411 E. 116th Street
VENDOR Reston,VA 20190 SOHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
3.500 each Collaboration Engineer-Call Handler Support $ 175.0000 $612.50
GLAccount#1125101-4341955
Send Invoice To:
$612.50
PLEASE INVOICE IN DUPLICATE
DEPARTMENT i ACCOUNT PROJECT PROJECT ACCOUNT 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.0.D SHIPMENTS CANNOT BE ACCEPTED. '
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER V�
DOR
DOCUMENT CONTROL NO. 51647 VENDOR COPY �V