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of Carme I' CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
JL FEDERAL EXCISE TAX EXEMPT 103567
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
12/17/2019 372553
SUSAN SHERER VINCENT, INC Carmel Police Department
VENDOR 23 S.8TH STREET SHIP 3 Civic Square
TO Carmel, IN 46032-
NOBLESVILLE, IN 46060- Blaine Mallaber
_ PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT -
42794
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-407.03
1 Each mental health counselling $20,000.00 $20,000.00
Sub Total - $20,000.00
Send Invoice To: `., � '
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $20,000.00
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 ^ _ v
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 S1C
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow James Crider
TITLE Chief Administration
CONTROL NO. 103567 CLERK-TREASURER \�