HomeMy WebLinkAbout50649 INDIANA DEPARTMENT WORKFORCE DEVELOPMENT i I INDIANA RETAIL TAX EXEMPT ( PAGE 1 1
City Car; ,,, . ( CERTIFICATE NO.003120155 002 0 j „•
7 PURCHAS
FEDERAL EXCISE TAX EXEMPT 50649
I 35-60000972
-ONE CHIC-SQUARE .__
CARLIEL,otd(A,NA 48632-2E Stl• THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY MEMO,PACKING SLIPS, i
SHIPPING LABELS AND ANY CORRESPONDENCE,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED I REQUISITION NO. VENDOR NO. DESCRIPTION
12/12/2017 112/17/17 14748 146500 ;Unemployment Claims
Indiana Dept.Workforce Develo Administration Office
10 N Senate Ave.SE106 1411 E. 116th Street
VENDOR Indianapolis,IN 46204-2277 To P Carmel, IN 46032
CONFIRMATION i
_.EBLANKET 1 CONTRACT _�.__ PAYMENT TERMSI FREIGHT
._...•.._....•.�.,••.•�...........w,�.,�
__ M _...._ .._.a.__ ..o i[
_..........
QUANTITY ...._,.__,._.,..-�_H..............�...,._
)UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
$ 1.0000 each Umemployment Claims 2017 20,280.000 $20,280.00
GLAccount#1125101-4110000 •
Send Invoice To:
$20,280.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT i ACCOUNT Jmm. PROJECT V _ 1 PROJECT ACCOUNT --- 1 "AMOUNT
PAYMENT
• Al?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 AU-SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 50649 VENDOR COPY