26634 Paper-Lite Division of Mathes Assoc., Inc. CiINDIANA RETAIL TAX EXEMPT PAGE
ty of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
.':ia' ,•<'.•',FEDERAL EXCISE TAX EXEMPT 26634
• •' '" 35-60000972
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
URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1211912012 Laserfiche Upgrade
Paper-Lite Divison of Mathes Assoc., Inc. Carmel Communications
SHIP Terry Crockett
VENDOR 1711 Wood Valley Drive TO 3 Civic Square
Cannel, IN 46032 Carmel, IN 46032
(317)571-2567
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-404.00
1 Each Professional Svs/Laserfiche upgrade $5,000.00 $5,000.00
Sub Total: $5,000.00
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Send Invoice To:. ,
City of Carmel
Terry Crockett
3 Civic Square s
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
Carmel IS Dept PAYMENT $5,000.00
• 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 CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPRO,B ION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /
SHIPPING LABELS. Director
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 2 6 6 3 4 CLERK-TREASURER
OFFICE COPY