HomeMy WebLinkAbout103496 US GREEN BUILDING COUNCIL City /fINDIANA RETAIL TAX EXEMPT Page 1 of 1
of (, Ia]rrnie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
� FEDERAL EXCISE TAX EXEMPT 103496
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
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
12/12/2019 359089 Annual Dues for Alexia April 2020-April 2021
US GREEN BUILDING COUNCIL Dept of Community Service
VENDOR P 0 BOX 404296 SHIP 1 Civic Square
TO Carmel,IN 46032-
ATLANTA,GA 30384--4296
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
42615
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 43-553.00
1 Each Alexia Yearly dues $750.00 $750.00
Sub Total $750.00
d it It
Send Invoice To
Dept of Community Service
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT N AMOUNT
PAYMENT $750.00
SHIPPING INSTRUCTIONS `AIP 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. 103496 CLERK-TREASURER