27715 PaperLite Division of Mathes Assoc, Inc. •
A,
INDIANA RETAIL TAX EXEMPT PAGE
C 1 of C�r�e CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 27715
35-60000972
ONE CIVIC SQUARE 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
10/2412012 Laserfiche Forms Support
Paper-Lite Divison of Mathes Assoc., Inc. Carmel Communications
VENDOR SHIP Terry Crockett
1711 Wood Valley.Drive TO 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
•
(317)571-2567
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
•
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Account-43415.02
1. Each Laserfiche forms annual support $6,176.00 $6,176.00
Sub Total: $6,176.00
, Of fliii,,, ,e0,,,,, \ . _
.fir^ ,
4,4 ...A.,
• ��,* . *,,,\q•
,,,,,„\, ,
k i: / ) . ,, a
ilk A � •
ii I
' °. ,,,,, ° Q s ' E
..,°** \ i ' .
Send Invoice To:
City of Carmel
Terry Crockett .
•
3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT f ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel IS Dept. PAYMENT $6,976.00
• A/P 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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CER FY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROP 170 •SD@FICIENT TO PAY FOR THE ABOVE ORDER.•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Director
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 27715 OFFICE COPY