27711 Citrix Systems, Inc. C ity INDIANA RETAIL TAX EXEMPT PAGE
�� ��} CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 . 27711
ONE CIVIC SQUARE 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
?URCHASEORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
10/812012 Citrix Annual Support
Citrix Systems, Inc. City of Carmel
VENDOR SHIP Terry Crockett
851 !Nest Cypress Creek Road TO 3 Civic Square
Fort Lauderdale, FL 33309 Carmel, IN 46032
(317)371-2307 - —
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE 1 DESCRIPTION UNIT PRICE EXTENSION
Account 43-515.02
1 Each Citrix Access Gateway Universal license $390.00 $390.00
1 Each Citrix Access Gateway VPX Platform LA-0001168565-84259 $129.00 $129.00
i, license
80 Each Citrix XenApp (Presentation Server) $50.00 $4,000.00
Enterprise OF
Sub Total: $4,519.00
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Send Invoice To.
City of Carmel
Terry Crockett
3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel IS Dept. PAYMENT NP P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNL S
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPgQP TION SUFFI TO-130—FOR THE ABOVE ORDER.
•SHIP REPAID. - //
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. t
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TI Director
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
®�� CLERK-TREASURER
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