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REMITTANCE ADVICE
Invoice Date: 12-DEC-2018
Invoice Number: 1673000413
Customer Number: 567630
Remittance Amount:
Please make checks payable to: Mergent Inc
Please forward this advice with your payment to: TO PREVENT ANY DELAY IN THE ALLOCATION OF PAYMENTS AGAINST
INVOICE, FOR EACH PAYMENT PLEASE ENSURE THE BELOW REFERENCES
ARE INCLUDED WITH YOUR PAYMENT:
CUSTOMER NAME INVOICE NUMBER
POUDRE RIVER LIBRARY DISTRICT 1673000413
Mergent Inc For Wire and ACH Payments please send to:
PO Box 855991 Wells Fargo
Minneapolis, MN 55485-5991 Account # 4125897157 ABA/ Routing # 121000248
For international wires in USD or unknown currency use: SWIFT WFBIUS6S
For international wires in foreign currency use: SWIFT WFBIUS6WFFX
For domestic wires exclude SWIFT code
Note: If paying by ACH, use CCD+ or CTX format
For further credit to: Mergent Inc.
Credit Card Payment (American Express, Visa and Mastercard accepted);
Please call Mergent at: 1-800-342-5647
Note: Credit card payments of $2,000.00 or greater are subject to a 3%
processing fee.
580 Kingsley Park Drive
Fort Mill, SC 29715
United States of America
Federal Tax ID 36-4233475
DM_FAX_INFO:27228000:linv:[LANG=PDF]:none:pdf:1673000413:567630:719587:POUDRE RIVER LIBRARY DISTRICT:Mergent Inc:
Invoice Number Contract Number Customer Number
1673000413 106766 567630
Invoice Date Purchase Order Number Total Amount Due
12-DEC-2018 20,867.32
Mail To: Ship To:
TOVA ARAGON
POUDRE RIVER LIBRARY DISTRICT
CITY OF FORT COLLINS AP DEPARTMENT
PO BOX 2047
FORT COLLINS, CO 80522
TOVA ARAGON
POUDRE RIVER LIBRARY DISTRICT
CITY OF FORT COLLINS AP DEPARTMENT
PO BOX 2047
FORT COLLINS, CO 80522
The following is a summary of your fee(s). For more information, please review the enclosed detail.
Invoice Summary Fee Amount
Current Period Fees
Freight
Sales Tax
Current Amount Due
USD
20,867.32
0.00
0.00
20,867.32
For questions regarding this Invoice please contact Billing at 1-866-205-3950 or billing@mergent.com
For all payment-related inquiries, please contact indexcollections@lseg.com
Your payment shall serve as your agreement to, and confirmation of your intent to be bound by, all the terms hereof, including the Terms of
Use attached hereto
Invoice Number
Invoice Number: 1673000413
Description of Services
POUDRE RIVER LIBRARY DISTRICT
Contract Number: 106766
No. of
Users
PO
Number
No of
Units
Rate Fee Amount
USD
MERGENT INTELLECT 01/01/2019 - 12/31/2019
Mergent Intellect 1000
Residential Data 1000
Family Tree Add-On 1000
Job Search 1000
Census Data 1000
First Research Add-on 1000
11,422.41
First Research
01/01/2019 - 12/31/2019
999 9,444.91
Current Amount 20,867.32
Tax Rates Tax Amount
Out of Scope 0.000 0.00
Total Amount 20,867.32
1673000413
Invoice Date
12-DEC-2018
Customer Number
567630
Payment Terms
30 NET
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