31636 Paper Lite Divison of Mathes •
± _®f �� �� • — INDIANA RETAIL TAX EXEMPT PAGE
J111 ll. CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
" 35-60000972 - 31616
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12190013 Laserfiche Support
Paper-Lite Divison of Mathes Assoc., Inc. Cannel 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 DESCRIPTION UNIT PRICE I EXTENSION
Account 43-515.02 •
1 Each Support for 20 Laserfiche Named User Seats $14,300.00 $14,300.00
• Sub Total: $14,300.00
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QUO �`� �} '
Send Invoice To: f��l_r»1j'; - .
City of Carmel
Terry Crockett •
3 Civic Square
Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE
i.
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1202 Carmel IS Dept PAYMENT 614 300.00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLEhS 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 APPROP• 1 ON SUFFICIENT To.PAY FOR t E ABOVE ORDER.
SHIP REPAID. • / 1
•C.O D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ■, / / - -/���
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL Or
SHIPPING LABELS.
X
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Director
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31636 OFFICE COPY