HomeMy WebLinkAbout101192 SIMPLIFILE o: .. . INDIANA RETAIL TAX EXEMPT Page 1 of 7:
}� ® �� �- - CERTIFICATE°NO.003120155 002 0 PURCHASE ORDER NUMBER
J� FEDERAL EXCISE.TAX EXEMPT 101192
ONE CIVIC SQUARE 35-.6000972 THIS NUMBER MUST APPEAR ON INVOICES,AR -
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
12/20/2017 369043
SIMPLIFILE Clerk-Treasurer's Office
VENDOR: 4844 NORTH 300 WEST,SUITE 300 SHIP 1 Civic Square
TO.: Carmel,IN•46032 - .. .
PROVO, UT-84694-
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PURCHASE.ID BLANKET CONTRACT PAYMENT TERMS:,
,FREIGHT:::
.21974
QUANTITY :: UNIT.OF MEASURE - : DESCRIPTION UNIT PRICE - EXTENSION
Department: 1701 Fund: 101 General Fund
Account: 43-406.00 - .
. .1 Each: : -:' : Recording Fees $1,500.00 .. . $1,500.00
Sub Total $1,500.00
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: Send. InvoiceTo: . ' ..
Clerk-Treasurer's Office
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1 Civic Square. ., if—; - ."., ., :_ .,-1.,.pk,.:...;ie/ . -i . . .
Carmel, IN 46032-. : ��
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'PLEASE INVOICE IN DUPLICATE
DEPARTMENT ... .. .. :ACCOUNT. : . . PROJECT PROJECT ACCOUNT AMOUNT.
PAYMENT .. . $1,500.00
- SHIPPING INSTRUCTIONS
A/P VOUCHERCANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER ISMADE 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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
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Dianne.Walthall
TITLE :: Director of Financial Reporting .. . . . . ..
CONTROL NO. 0 1 �92 CLERK-TREASURER