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it yof I2I1r]nr1Ie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER.,
FEDERAL EXCISE TAX EXEMPT 102470
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 4
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO:. VENDOR.NO. DESCRIPTION
12/31/2018 371296 CENSUS DATA COLLECTION&CONSULTING
STAKEHOLDER INTERNATIONAL LLC Common Council
VENDOR 510 E 96TH ST . . SHIP 1 Civic Square
SUITE 180 : . . : TO Carmel,:IN:46032-
INDIANAPOLIS, IN 46240
PURCHASE ID BLANKET CONTRACT : PAYMENT TERMS': :': :; ; ;FREIGHT :; :.' '
32475
:.QUANTITY - UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1401 •-• Fund:- 101 General Fund
Account: 43-404.00
1 Each. : : CITY OF CARMEL REDISTRICTING $5,840.00 $5;840.00
Sub Total $5,840.00
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Send Invoice To: ,. , "
'Common Council
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1 Civic Square /
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT - I PROJECT PROJECT ACCOUNT AMOUNT
. PAYMENT $5,840.00
SHIPPING INSTRUCTIONS *AN 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. 1 AFFIDAVIT ATTACHED. :IHEREBY 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 / it i 49
1)iii-. 4
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
IF
TITLE
CONTROL NO. 102470 CLERK-TREASURER
