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INDIANA RETAIL TAX EXEMPT Page 1 of 1
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0ERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
/ FEDERAL EXCISE TAX EXEMPT 103427
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
12/11/2019 365322 Dec 3rd and 17th PC Meeting
JOHN ADAMS Dept of Community Service
VENDOR 12638 ROYCE COURT SHIP 7 Civic Square
TO Carmel, IN 46032-
CARMEL, IN 46033
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
42483
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE :: EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 43-430.04
1 Each Plan Commission Per Diem $150.00. $150.00
Sub Total $150.00
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Send Invoice To: fs. �,.., �
.sue.:-
Dept of Community Service
I Civic Square s. F� >��
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT Q PROJECT PROJECT ACCOUNT 1 AMOUNT
PAYMENT $150.00
SHIPPING INSTRUCTIONS 'A/P VOVIT APPROVED THE R A
PFUCHER THE VOUCHERCANNOT BE AND EVERY INVOICE ANDPAYMENT VOUCUNHERLESS HAS THEP.O.PROPER NUMBER
'SHIP PREPAID. AFFIDARTA ATTAH . I RE CTIFYFOR THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATIONO CED SUFFICIENTHEBY TOER PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL /�7� / J
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ( %�
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
Mike Hollibaugh
TITLE Director
CONTROL NO. 103427 CLERK-TREASURER