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HomeMy WebLinkAbout38744 Don R. ScheidtCity to f C • rmel CLUE CMC SQUARE 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 1 PURCHASE ORDER NUMBER 38744 THIS NUMBER MUST APPEAR ON INVOICES, MP VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 6/26/2015 06/29/15 5773 Revision - Matilda Haverstick Family Land Appraisal Report Don R. Scheidt Co. Inc. 626 N. Illinois Street Suite 200 VENDOR Indianapolis, IN 46204-1251 SHIP TO Administration Office 1411 E. 116th Street Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY 1.000 Send Invoice To: UNIT OF MEASURE each DESCRIPTION UNIT PRICE EXTENSION Revision to Matilda Haverstick Family Land Property Report $ 500.0000 GLAccount# 1125101-4341999 PLEASE INVOICE IN DUPLICATE $ 500.00 $ 500.00 DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT SHIPPING INSTRUCTIONS • SHIP REPAID. • COD 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. DOCUMENT CONTROL NO. 38744 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 AFFIDAVIT ATTACHED. 1 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. ORDERED BY Dawn Koepper*, Kz‘,_,L„n,(S- l1"I TITLE CLERK -TREASURER VENDOR COPY