102163 PCMG, INC INDIANA RETAIL TAX EXEMPTPage 1 of 1
City of Iiarririie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102163
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
11/28/2018 371503 SAP Crystal Reports 2016-Quote B0999612
PCMG, INC City Engineering's Office
VENDOR SHIP 1 Civic Square
FILE 55327 TO Carmel, IN 46032-
LOS ANGELES,CA 90074--5327 Kate Lustig
PURCHASE ID I BLANKET CONTRACT PAYMENT TERMS FREIGHT
31364
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Fund: 2200 Motor Vehicle Highway
Account: 44-632.02
1 Each Crystal Reports 2016 (Cityworks Report Writing) $770.00 $770.00
Sub Total $770.00
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Send Invoice To: !, �, ,__a _ �.,.,._d __, :"'F ,
City Engineering's Office 'a
Kate Lustig
1 Civic Square
Carmel, IN 46032- 1�
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT ! PROJECT ACCOUNT AMOUNT
PAYMENT $770.00
'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
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 CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. y�
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL 1
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 —'� ___"`Ill
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY /�-�-
Jeremy Kashman ' V
TITLE Director \\ ‘N N
CONTROL NO. 102163 CLERK-TREASURER ��(J J