HomeMy WebLinkAbout356265 MACROMEDIA - PURCHASE ORDER - 5502945 (3)Date: 05/23/05
City of Fort Collins
Page Number: 1
City of Fort Collins
Purchase Order Number: 5502945
Delivery Date: 05/06/05 Buyer: BONNETTE, ED
Purchase Order number must appear on invoices, packing lists, labels, bills of lading, and all correspondence.
Note:
Line Qty/Units Description Extended Price
3 Qty (1) Cold Fusion MX 5,700.00
Enterprise 6.1; full version;
4 Shipping costs 7.50
on above purchase
'.A
Total
$5,707.50
City of Fort Ccilfinf Director of Purchasing and Risk Management City of Fort Collins
This order is alid over $2000 unless signed by James B. O'Neill II, CPPO, FNIGP Accounting Department
City of Fort Collins Purchasing, PO Box 580, Fort Collins, CO 80522-0580 PO Box 580
Phone: 970-221-6775 Fax: 970-221-6707 Email: info@ci.fort-collins.co.us Fort Collins, CO 80522-0580
City of Fort Collins
Administrative Services
Finance Department - Accounting Division
BLANKET EXEMPTION CERTIFICATE
(For use by States, Territories, or political subdivision thereof)
Date: May 6, 2005
The undersigned hereby certifies that she is Joyce Grenz, Accounts Parable
Representative of City of Fort Collins to execute this certificate and that the article or
articles specified in the accompanying orders, or on the reverse side hereof, are purchased
from MACROMEDIA for the
exclusive use of the City of Fort Collins of the State of Colorado.
It is understood that the exemption from tax in the case of sales of articles under this
exemption certificate to a State, etc., is limited to the sale of articles purchased for its
exclusive use, and it is agreed that if articles purchased tax free under this exemption
certificate are used otherwise or are sold to employees or others, such fact will be
reported by me to the manufacturer of the article or articles covered by this certificate. It
is also understood that the fraudulent use of this certificate to secure exemption will
subject the undersigned and all guilty parties to a fine of not more than $10,000,00 or to
imprisonment for not more than five years, or both, together with costs of prosecution.
State of Colorado Department of Revenue, Certificate of Exemption
Identification Number 48-04502.
� (ignature)
Accounts Pavable Ren — Accountine Dent.
(Title of Officer)
215 North Mason Street • 2nd Floor • P.O, Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6770 • FAX (970) 221-6782