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ICiiity o-f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER'NUMBER —1I
I FEDERAL EXCISE TAX EXEMPTV
33530
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
!PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1/5/2017 366989
GRM MGMT SERVICES OF IN Carmel City Court
VENDOR PO BOX 28404 SHIP 1 Civic Square
TO Carmel, IN 46032-
NEW YORK, NY 10087-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
11658
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION J
Department: 1301 Fund: 502 Record Perpetuation Fund
Account: 43-419.99
1 Each Storage and retrieval fees $1,000.00 $1,000.00
Sub Total $1,000.00
Send Invoice To:
Carmel City Court
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT Y ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $1,000.00
SHIPPING INSTRUCTIONS `A/P 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 fir'
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY --
Brian Poindexter
TITLE Judge
CONTROL NO. 33530 CLERK-TREASURER