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INDIANA RETAIL TAX EXEMPT
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CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
104546
FEDERAL EXCISE TAX EXEMPT
35-6000972
ONE CIVIC SQUARE
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CARMEL, INDIANA 46032-2584
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FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1099R Report
11/25/2020229350
O.W. KROHN & ASSOCIATES LLP Controller's Office
VENDOR231 E. MAIN STREET SHIP 1 Civic Square
TO
Carmel, IN 46032-
WESTFIELD, IN 46074 -
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
51721
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund:
1701101General Fund
Account:
43-403.03
1EachPREPARATION OF FEDERAL/STATE TAX FORMS$1,800.00$1,800.00
Sub Total$1,800.00
Send Invoice To:
Controller's Office
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
$1,800.00
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ORDERED BY
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Dianne Walthall
TITLEDeputy Director
104546
'10531.01#
CLERK-TREASURER