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.^J� ariiieI CERTIFICATE NO 003120155 002 0
(` PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 37945
35-60000972
THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
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
1/6/2015 01110/15 3867 Bookkeeping Services 2015
Magers Bookkeeping Services LL Administration Office
16924 Cedar Creek Lane 1411 E. 116th Street
VENDOR Noblesville, IN 46060 THOIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY !UNIT OF MEASURE I DESCRIPTION UNIT PRICE I EXTENSION
12.000 each Monthly 2015 Fee- General Fund $ 120.0000 $ 1,440.00
12.000 each Monthly 2015 Fee- ESE Fund $450.0000 $5,400.00
12.000 each Monthly 2015 Fees-MCC Fund $435.0000 $5,220.00
GLAccount# 1125101-4341999
Send Invoice To:
$ 12,060.00
PLEASE INVOICE IN DUPLICATE
OF_PARTMEN7 I ACCOUNT I- PROJECT PROJECT ACCOUNT 1. AMOUNT
PAYMENT
• AiP 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. E HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDI"RNUMI3EERMUSI.APPEAR ON ALL SHIPPING LABFLS. ORDERED BY Dawn Koepper j, I/1� � /.� A ( A,1 G-
• TATS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 "�J / I
AND ACTS AMENDATORY I I IEREOE AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 37945 VENDOR COPY