Loading...
HomeMy WebLinkAbout50642 UNITED FIDELITY VISA INDIANA RETAIL TAX EXEMPT i PAGE 1 n .` .a r I la,.''. CERTIFICATE NO.003120155 002 0 I [ © - i PURCHASE OR23`R NUMBER .�J [ r� �r ¢ pr }* FEDERAL EXCISE TAX EXEMPT d/ j 1 �l f`\ GK' Li► L 35.60000972 S 4&diR, 1.4iLE116''Street Cal met IN 46C32THIS NUMBER MUST APPEAR ON INVOICES,MP VOUCHER,DELIVERY MEMO,PACKING SUPS. f SHIPPING LABELS AND ANY CORRESPONDENCE. i _FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 --.-___--- •_____ ,_-.:.._ .__ _ _ PURCHASE ORDER DATE' DATE REQUIRED REQUISITION NO. rVENDOR NO. DESCRIPTION - 12/12/2017 12/17/17 14733 } 3-71208 Membership Renewal Illinois Association of Park D ( r6,u ISR Administration Office 211 East Monroe Street1411 E. 116th Street VENDOR Springfield, IL 62701-1186 Wtol,.3t caU.J So P Carmel, IN 46032 CONFIRMATION j BLANKET 1 CONTRACT .' PAYMENT TERMS .._..__..., FREIGHT .. _a,, m......,... ........_ _ aa _,_._ QUANTITY I LUNIT OF MEASURE I DESCRIPTION UNIT PRICE I'mEXTENSION 1.000 each 2018 Membership Renewal for COO $234.0000 $234.00 GLAccount# 1125101-4355300 Send Invoice To: $234.00 PLEASE INVOICE IN DUPLICATE DEPARTMENT NPROJECT m"i PROJECT ACCOUNT -1-----ACCOUNT j AMOUNT PAYMENT • Alp 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 SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED. ▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION • SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER. • C.O.D SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS ORDERED BY Dawn Koepper M ,, u/A Z1/ • THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 /1 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE CLERK-TREASURER \ DOCUMENT CONTROL NO. XX-6235 VENDOR COPY \/1) .. ���,,,