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City of cI]r1ri1e11 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 00553
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
k
7/7/2017 371586
MKSK Dept of Community Service
VENDOR 462 S. LUDLOW ALLEY SHIP 1 Civic Square
TO Carmel, IN 46032-
COLUMBUS,OH 43215-
PURCHASE ID BLANKET ! CONTRACT PAYMENT TERMS FREIGHT
16883
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 43-509.00
1 Each Land Development Planning $10,650.00 $10,650.00
Sub Total $10,650.00
Send Invoice To:
Dept of Community Service
1 Civic Square
Carmel, IN 46032-
-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT —! PROJECT PROJECT ACCOUNT AMOUNT
_ _—_ -- _- -PAYMENT $10,650.00
ARP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS 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 q 1 .
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 J �..__..
---.77,NO
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Mike Hollibaugh Douglas Haney ^\
TITLE Director Corporation Counsel VI
CONTROL NO. 1 00553 CLERK-TREASURER4