HomeMy WebLinkAbout103398 FIFTH THIRD BANK -PCARD IIity ®f �� INDIANA RETAIL TAX EXEMPT Page 1 of 1
11 a e1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
�/ , FEDERAL EXCISE TAX EXEMPT 103398
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 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 Commercial Plumbing Inspector Test
FIFTH THIRD BANK-PCARD ONLY Dept of Community Service
VENDOR NO ADDRESS-ACH SHIP 1 Civic Square
TO
Carmel, IN 46032-
PURCHASE ID: BLANKET CONTRACT PAYMENT TERMS FREIGHT
42383 .
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 43-570.04
1 Each ICC Class $209.00 $209.00
Sub Total $209.00
*Eab•
Send Invoice To: '
Dept of Community Service
1 Civic Square {
Carmel, IN 46032- '
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $209.00
SHIPPING INSTRUCTIONS 'AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
*SHIP PREPAID. PART OF THE VOUCHER AND 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 / QQ
'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. 103398 CLERK-TREASURER