HomeMy WebLinkAbout103394 FIFTH THIRD BANK -PCARD City
INDIANA RETAIL TAX EXEMPT Page 1 of 1
of Carme1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
J� FEDERAL EXCISE TAX EXEMPT 103394
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
12/10/2019 372357 Donation to Pancreatic Cancer in honor of Tom Kegley
FIFTH THIRD BANK-PCARD ONLY Dept of Community Service
VENDOR NO ADDRESS-ACH SHIP 1 Civic:Square
Carmel,IN 46032-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT -..
42362
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE:: EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 43-551.00
1 Each Donation to charity $100.00 $100.00
Sub Total: $100.00
Send Invoice To: ,,_
Dept of Community Service
1 Civic Square t.�
Carmel, IN 46032- . . :
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $100.00
SHIPPING INSTRUCTIONS *ASP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. PART OF THE VOUCHERAND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
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
Mike Hollibaugh
TITLE Director
CONTROL NO. 103394 CLERK-TREASURER