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HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9147354S�gr��l ti-a Y :�. 71 c0 7N 735-7 Docu _ The Global Standard for eSignature 1301 2ntl Avenue, Suite 2000 Seattle, WA 98101 bi I li na0 docusi g n.com EIN: 91-2183967 INVOICE Invoice Date: 11/25/2014 Invoice #: INVO0898638 Payment Terms: Net 30 Due Date: 12/25/2014 Purchase Order #: Account Number: A00005276 Account Information: City of Fort Collins gspaul@fcgov.com 215 N Mason St Fort Collins, Colorado 80524 United States Subscription Item ,;Description e'' "'"" tiService'"" Quantity Unit Price EMended P"rice Pertod A-S00008644 SKU- 00000230 _ DocuSign System Automated _Premium Edition -Envelope -- Overage _.._, 09/18/2014- 10/17/2014 40 $3.00 $120.00 A-S00008644 SKU- 00000230 DocuSign System Automated Premium Edition-Enve/ope -- Overage 10/18/2014- 11/17/2014 34 $3.00 $102.00 A-S00008644 SKU- 00000280 Support -Premier Support 09/18/2014- 09/17/2015 1 $885.00 $885.00 A-S00008644 SKU- 00000230 DocuSign System Automated Premium Edition -Envelope Allowance 09/18/2014- 09/17/2015 2,500 $2.36 $5,900.00 Subtotal: $7,007.00 Tax: $0.00 Total: $7,007.00 Currency: USD Please remit checks to: Please remit electronic payments to: DocuSign Inc Silicon Valley Bank DEPT 3428 3003 Tasman Drive PO BOX 123428 Santa Clara, CA 95054 DALLAS, TX 75312-3428 Routing #: 121140399 Account #: 3300414688 Swift Code: SVBKUS6S For Courier Deposits (Fed EX. UPS,etc.) Dallas Regional Lockbox DocuSign Inc 893428 1501 North Plano Rd Ste 100 Richardson, TX 75081 Powered by Mora