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City of IIanriririe1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103447
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A1P
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 00351506 Legal Fees for 2020
JOHN R. MOLITOR Dept of Community Service
VENDOR DO NOT MAIL : SHIP. ;1 Civic Square
9465 COUNSELORS ROW,SUITE 200 TO Carmel, IN 46032-
INDIANAPOLIS, IN 46240-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
42526
QUANTITY UNIT OF MEASURE DESCRIPTION - UNIT PRICE EXTENSION
Department: 1192 : Fund: 101 General Fund
Account: 43-400.00
1 Each Legal Services _ $450.00 $450.00
Sub Total $450.00
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Send Invoice To:
Dept of Community Service -,
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $450.00
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 LABEL
`THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ( r
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Mike Hollibaugh
TITLE Director
CONTROL NO. 1 03447 CLERK-TREASURER