27710 Bentley Systems IncCi
of Carmel
ONE CIVIC SQUARE
• CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
27710
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO
DESCRIPTION
-•
a „�,
,;
4 912712012
Bentley Support
Bentley Systems Inc
VENDOR
685 Stockton Drive
Exton, PA 19341
SHIP
TO
City of Carmel
Terry Crockett
3 Civic Square
Carmel, IN 46032
(317) 571 -2567
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43-515.02
1 Each Bentley PowerMap SELECT Subscription 110
12 Each Bentley Map PowerView SELECT sub 90
7 Each Bentley Map SELECT Subscription 80
2 Each Bentley Water SELECT Subscription 40
1 Each Bentley WasteWater SELECT
Subscription
7 Each MicroStation SELECT Subseripti6r •'
Send Invoice To:
City of Carmel
Terry Crockett
3 Civic Square
Carmel, IN 46032-
Lit
0
LC
PLEASE INVOICE IN DUPLICATE
$340.00
$270.00
$490.00
$750.00
$750.00
$820.00
Sub Total:
$340.00
$3,240.00
$3,430.00
$1,500.00
$750.00
$5,740.00
$15,000.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT_
AMOUNT
Carmel 15 Dept.
SHIPPING INSTRUCTIONS
• SHIP REPAID. -
0.0.0. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 27710
ORDERED BY
TITLE
CLERK- TREASURER
OFFICE COPY
PAYMENT $15,000.00
• 'P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CE TIP' THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPRO IATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
Director