HomeMy WebLinkAbout33236 DLH Counseling & ConsultingCi ty of Cannel
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
THIS NUMBER MUST APPEAR ON
VOUCHER, DELIVERY MEMO, PAC
SHIPPING LABELS AND ANY CORRESP
DURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION 1
11112/2015
DLH Counseling 8 Consulting
VENDOR
11925 E 85th St, Sults 4
Indianapolis, IN 48238 -
Cannel Police Department
SH19
Civic Square
TO Cannel, IN 48032-
(317) 571-2559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
2 Each pre-employment evaluation
Send Invoice To:
Carmel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032 -
PLEASE INVOICE IN DUPLICATE
$950.00
$700.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
:annel Police Dept. 43419.99
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. 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.
ORDERED BY
TITLE
CLERK -TREASURER
DOCUMENT CONTROL NO. 33236 OFFICE COPY
PAYMENT
• NP 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 HAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPBJ4 N SUFFICIENT TO PAY'FOR THE ABOVE ORDER.