HomeMy WebLinkAbout103415 HOST COMPLIANCE, LLC ciii
cIIa]r]r1nIe1INDIANA RETAIL TAX EXEMPT Page 1 of 1
}� of CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
/Jl / FEDERAL EXCISE TAX EXEMPT 103415
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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 371819 Services for Short Term Rental Listings for 2020
HOST COMPLIANCE, LLC Dept of Community Service
VENDOR AXOS BANK-ATT:DEPOSIT SERVICING SHIP 1 Civic Square
PO BOX 509127 TO Carmel,IN 46032-
SAN DIEGO,CA 92510--9948
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
42450
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 43-552.00
1 Each Short Term Rental Listings $3,300.00 $3,300.00
Sub Total $3,300.00
o
Send Invoice To:
Dept of Community Service
I Civic Square
Carmel, IN 46032- . .,.
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $3,300.00
SHIPPING INSTRUCTIONS *ASP 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 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. 103415 CLERK-TREASURER