HomeMy WebLinkAbout100566 KIESER CONSULTING GROUP LLC INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of I12I.]rI11C1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100566
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
7/13/2017 371213 COST VERIFICATION DATE FOR FIXED ASSETS;PHYSICAL
INVENTORY JUSTIFICATION
KIESER CONSULTING GROUP LLC Mayor's Office
VENDOR 9120 OTIS AVENUE SUITE 103 SHIP 1 Civic Square
TO Carmel,IN 46032-
INDIANAPOLIS, IN 46216-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
17106
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1160 Fund: 101 General Fund
Account: 43-403.03
1 Each COST VERIFICATION DATA FOR FIXED ASSETS; PHYSICAL $4,500.00 $4,500.00
INVENTORY JUSTIFICATION
Sub Total $4,500.00
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Send Invoice To: .0.;.7-'.:7 ;-f fr r ",
Mayor's Office
1 Civic Square . i.y) ,,; .>., t x''.,
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $4,500.00
SHIPPING INSTRUCTIONS *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
*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 J `-'""kt'9`---
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ` '
Sharon Kibbe \
TITLE Executive Office Manager IN
CONTROL NO. 100566 CLERK-TREASURER