HomeMy WebLinkAbout52346 INDIANA PARKS & RECREATION Mel
INDIANA RETAIL TAX EXEMPT PAGE 1
PURCHASE ORDER NUMBER
a- CERTIFICATE NO.003120155 002 0
iC 1t.1 o f Car
FEDERAL EXCISE TAX EXEMPT 52346
35-60000972
ONE Ck'IG SQUARE
THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, �It�lnil:." �g �_<<g� VOUCHER,DELIVERY MEMO,PACKING SUPS,
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
1/17/2019 01/21/19 18650 353810 2019 Agency Membership Dues
Indiana Parks and Recreation Administration Office
P 0 Box 3906 1411 E. 116th Street
VENDOR Carmel, IN 46082 TO
Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
t
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each 2019 Park Agency Membership Fees Category 3(5 Full Time $439.0000 $439.00
Employees and 1 Board Member)
GLAccount#1125101-4355300
SCANNED
JAN 1 8 2019
Send Invoice To:
$439.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• AfP 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 �A
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 \\•
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE \ \ \`'
CLERK-TREASURER \ ,`
DOCUMENT CONTROL NO. 52346 VENDOR COPY4,