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INDIANA RETAIL TAX EXEMPT Page 1 of 1
Iof Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100456
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
IPURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION --1,
5/18/2017 00353403
IAA!-ARSON CONFERENCE Fire Department
;VENDOR PO BOX 1681 SHIP 2 Civic Square
TO Carmel,IN 46032-
CARSON CITY, NV 89702-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
15496
QUANTITY UNIT OF MEASURE DESCRIPTION ` UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-570.04
6 Each Registration Fees-Allen, Fuchs, Keaton, Knott, Mason, Ray $200.00 $1,200.00
Sub Total $1,200.00
Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECTPROJECT ACCOUNT AMOUNT
- --- --- --- PAYMENT -- $1,200.00
SHIPPING INSTRUCTIONS 'AQP 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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 c\
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY �\
Denise Snyder �
TITLE Budget&Accreditation Manager \
CONTROL NO. 100456 CLERK-TREASURER ---4\