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ci:City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 02808
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENC
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
4/16/2019 371456
ANNE ESSEX Clerk-Treasurer's Office
VENDOR C/O C-T OFFICE SHIP 1 Civic Square
TO Carmel, IN 46032-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
35519
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1701 Fund: 101 General Fund
Account: 43-430.02
1 Each LODGING $630.05 $630.05
1 Each Mileage Claim $221.56 $221.56
1 Each PARKING/TOLLS $12.00 $12.00
Sub Total $863.61
Account: 43-430.04
1 Each PER DIEM $162.50 $162.50
Sub Total $162.50
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Send Invoice To: 4:,.
Clerk-Treasurer's Office
1 Civic Square
Carmel, IN 46032- N
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $1,026.11
SHIPPING INSTRUCTIONS *A/P 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 LABE
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 A/jag:4W
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Dianne Walthall
TITLE Director of Financial Reporting
CONTROL NO. 1 02808 CLERK-TREASURER