30514 On Ramp Indiana Carmel Clay TAX INDIANA RETAIL EXEMPT I PAGE
CERTIFICATE NO. TAX EXEMPT
002 0 PURCHASE ORDER NUMBER
Parks&Recreation FEDERAL EXCISE TAX EXEMPT 3051
35- 60000972
1411 E 116 Street THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER. DELIVERY MEMO, PACKING SLIPS,
Carmel, IN 46032 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
02/29/12 Contract 2334(o3 IT Services
On -Ramp Indiana AO 1 I.
VENDOR 859 Con ner Street SHIP r
Noblesville, IN 4(40(-010 TO 4V
CONRRMATON BLANKET CONTRACT PAYMENT TERMS FREIGHT
4
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1, 595. 00
9 EA IT Services /Maintenance for April 2012 Dec. 2012 $14,35a.00 $14,355.00
1 EA Yearly charges for IT Services $3,202.95 $3,202.95
Send Invoice To:
$17,557.95
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT l AMOUNT
System MainUContracts PAYMENT
1125-1-01-4341955-Info S
Y NP VOUCHER CANNOT OE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER 15 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORD AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE I5 /N UNDBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT U PAY FOR THE ABOVE ORDER.
SHIP REPAID. F
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Dawn Koepper C'2.1\
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDEP ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE �Z
AND ACTS AMENDATORY THEREOF AND SUPPLEMEN1 THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 30514 VENDOR COPY