102155 NEOGOV INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102155
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 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
11/27/2018 362456 Add Background Check
NEOGOV Fire Department
VENDOR 300 CONTINENTAL BLVD SHIP 2 Civic Square
SUITE 565 TO Carmel, IN 46032-
EL SEGUNDO,CA 90245-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31284
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-515.02
1 Each Add Background Check Integration to Maintenance $197.26 $197.26
Agreement Pro-rated until 12/31/18
Sub Total $197.26
£ 3r
a 3 a'a
4 y �
t r p e ; e$
Send Invoice To:
Fire Department ,.
2 Civic Square
Carmel, IN 46032- r ,
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $197.26
SHIPPIN 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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNG!BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL -- <7,7
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 N.' =` '-�- `°` � ' "✓
AND ACTS AMENDATORY TI IEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder
TITLE Budget&Accreditation Manager V
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CONTROL NO. 102155 CLERK-TREASURER