52067 ZAMORINS SOLUTIONS, INCPARKZAPP INDIANA RETAIL TAX EXEMPT PAGE 1
�( CERTIFICATE 003120155 PT 0
c ' ity i .„,• a '
o PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 52067
CMC
35-60000972
OWE SQUARE
CARMEL TILDLAWA-4E012-2E84 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
10/22/2018 10/27/18 17968 372171 Playground inspection online app subscription
Zamorins Solutions, Inc/ParkZapp Parks Maintenance
5730 NW 4t CT 1427 E. 116th Street ATTN: Courtney
VENDOR Des Moines, IA 50313 SOHIP Carmel, IN 46032
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 $ 1,410.0000 $ 1,410.00
users with 2 admins, and up to 15 playgrounds- 11/8/2018-
11/7/2019
GLAccount#1125401-4355200
Send Invoice To:
$ 1,410.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT 1 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 Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 /1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE 1 J-�(
CLERK-TREASURER �
DOCUMENT CONTROL NO. 52067 VENDOR COPY 1\