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v 1 INDIANA RETAIL TAX EXEMPT Page 1 of 1
jCllt)r (( i CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER
of \ IInrirriie1 FEDERAL EXCISE TAX EXEMPT 100482
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 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
5/31/2017 371695 FEE FOR JUDGE FOR CARMEL ON CANVAS
SHAUN DINGWERTH Community Relations
VENDOR 407 S.4TH STREET SHIP 1 Civic Square
TO Carmel, IN 46032-
RICHMOND, IN 47374-
PURCHASE ID BLANKET 1 CONTRACT 1 PAYMENT TERMS FREIGHT
15760
QUANTITYUNIT OF MEASURE i DESCRIPTION ---f-- UNIT PRICE ! EXTENSION
Department: 1203 Fund: 101 General Fund
Account: 43-593.00
1 Each FEE FOR JUDGE FOR CARMEL ON CANVAS 2017 $500.00 $500.00
Sub Total $500.00
SCANNED
JUN —7 Z01
Send Invoice To:
Community Relations
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT i ACCOUNT T
PROJECT PROJECT ACCOUNT AMOUNT j
PAYMENT $500.00
SHIPPING INSTRUCTIONS *MP 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 —it ltn iO Q
j4,aiz
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY (—P\ /\.
Nancy Heck
TITLE Director
CONTROL NO. 100482 CLERK-TREASURER