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CERTIFICATE NO.003120155 002 0
4 - �`' PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 39173
35-60000972
C;IIE Cf.'II:S:bi!:=RE
C.4,RMEL, �'_t I I � '��•=" THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
10/19/2015 10/21/15 6877 West Park Crowd-Sourcing Project
Pros Consulting LLC Administration Office
201 S Capitol Ave. Ste 505 1411 E. 116th Street
VENDOR Indianapolis, IN 46225 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY l UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
$ 1.0000 each Engagement Letter for the West Park Crowd-Sourcing Project 13,500.000 $ 13,500.00
Website
GLAccount# 1060000-5023990
Send Invoice To:
$ 13,500.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I 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.
. I 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 ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper c 1 e
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 A,
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO.
TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 39173 VENDOR COPY