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31648 Paper Lite . City ty G f C sane l INDIANA RETAIL TAX EXEMPT 155 00 PAGE �llltlll f'�►./ CERTIFICATE NO.003120155 002 0 • PURCHASE ORDER NUMBER 1 FEDERAL EXCISE TAX EXEMPT 35-60000972 31648 _ i ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLPS, 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 12116/2013 Laserfiche Support Paper-Lite Division of Mathes Assoc., Inc. Carmel Communications . VENDOR SHIP Terry Crockett 1711 Wood Valley Drive TO 3 Civic Square • Carmel, IN 46032 Carmel, IN 46032 • (A17)S71-2567 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-419.55 • 1 Each Professional Services regarding support of Laserflchemorkflow $5,000.00 $5,000.00 Sub Total: $5,000.00 . 6:/ I! r :;o '-4 r� -° ' ■ (� R� o 0 Send Invoice To: � Y _' LM ©O • City of Carmel . Terry Crockett 3 Civic Square • Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT PAYMENT � • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS E P.O..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 HAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROP- 10 SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. �u/ V •CD.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY O. •PURR CHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS, •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE 2'rector AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER •DOCUMENT CONTROL NO. 31648 OFFICE COPY