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Chit of Iairrinie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102075
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
1116/2018 372095 IU PUBLIC POLICY INSTITUTE TO UPDATE OUTCOMES
RELATED TO INVESTMENT
INDIANA UNIVERISTY Community Relations
VENDOR P.O.BOX 78000 SHIP 1 Civic Square
DEPT.78920 ATT:AIR TO Carmel, IN 46032-
DETROIT, MI 48278--0920
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
30789
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1203 Fund: 101 General Fund
Account: 43-593.00
1 Each IU PUBLIC POLICY INSTITUTE TO UPDATE OUTCOMES $42,800.00 $42,800.00
RELATED TO INVESTMENT
Sub Total $42,800.00
SCANNED
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Carmel, IN 46032- ,, ,, ,-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT i ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $42,800.00
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 / /�� C'-31,..:
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'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 /f1-'�' i I. 7 4&__ c�r" "'"
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Nancy Heck James Crider
TITLE Director Administration \,� O
CONTROL NO. 102075 CLERK-TREASURER `