26642 Paper-Lite Division of Mathes Assoc, Inc. 0 r INDIANA RETAIL TAX EXEMPT PAGE
CitY ®f Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26642
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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1 211 91201 2 Laserfiche Named Licenses
Paper-Lite Dieison of Mathes Assoc., Inc. Carmel Communications
SHIP Terry Crockett
VENDOR 1711 Wood Valley Drive TO 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
- (317)571-2567
CONFIRMATION '.BLANKET. CONTRACT PAYMENT TERMS FREIGHT /
•
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QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-515.02
20 Each Laserfiche software support $184.50 $3,690.00
Sub Total: $3,690.00
Account 44432.02
20 Each Laserfiche Named Licenses , $660.00, $13,200.00
.> -„,;7.isk, Sub Total: $13,200.00
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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 $16,690.00
• 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 ATT CHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGAT 6 BALANCE IN
THIS APPROPR N SUFFICIENT TO PAY FOR A:e- EIDER.
•SHIP REPAID. _ ` / n
•C.OD:SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY i / ��/
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL 4+ 4iL ..
SHIPPING LABELS. Director I `
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE /
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 26642 CLERK-TREASURER
OFFICE COPY