HomeMy WebLinkAbout32615 Simon & CompanyCi
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
32615
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
1/2/2015
VENDOR
Simon & Company, Inc.
1660 L Street, N.W.
Suite 501
Washington, D.C. 20036
City of Carmel
SHIP Mayor's Office
TO One Civic Square
Carmel, IN 46032
CONFIRMATION
BLANKET
CONTRACT
PAY ENT TER MS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
Professional Services for 2015
in accordance with CpoLtact 0306.02.09 dated 3/6/2002
Send Invoice To:
1160/4340400
PLEASE INVOICE IN DUPLICATE
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
EXTENSION
$11,000.00
$11,000.00
AMOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• COO, SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
I DOCUMENT CONTROL NO. 32615
ORDERED BY
TITLE
CLERK-TREASURER
OFFICE COPY
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATIONSUFY FOR THE ABOVE ORDER.