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CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103599
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
12120/2019 372357
FIFTH THIRD BANK-PCARD ONLY Human Resources
VENDOR :NO ADDRESS-ACH SHIP ..1 Civic Square
TO Carmel, IN 46032-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
42877
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1201 Fund: 101 General Fund
Account: 43-430.02
1 Each Purchase Card Claim $1,163.12 $1,163.12
Sub Total $1,163.12
Account .43 570'03
1 Each Purchase Card Claim $945.00 $945.00
,Sub Total $945.00 -"
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Send Invoice To: . ,:tea L5
Human Resources •
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT N AMOUNT
PAYMENT $2,108.12
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 1945AND ACTS ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Barbara Lamb
TITLE Director
CONTROL NO. 103599 CLERK-TREASURER