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s CERTIFICATE NO.003120155 002 0
7,1 I� „GI •`'v, s? PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT
35-60000972 53936
ONE CHIC SQUARE
CARMEL, INDIANA 46032-2584 THIS NUMBER MUST APPEAR ON INVOICES,AP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
aCHASE ORDER DATE DATE REQUIRED REQUISITION NO, VENDOR NO. DESCRIPTION
1/3/2020 01/08/20 22289 00353324 2020 Annual CAPRA Fee
NRPA Administration Office
22377 Belmont Ridge Road 1411 E. 116th Street
VENDOR Ashburn, VA20148-45016 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT'
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE 1 EXTENSION
1.000 each CAPRA 2020 Annual Fee $500.000 $500.00
GLAccount#1125101-4355300
Send Invoice To:
$500.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• AlP 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID SUFFICIENT TO PAY FOR THE ABOVE ORDER.
▪ C.O.D SHIPMENTS CANNOT BE ACCEPTED,.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 53936 VENDOR COPY