HomeMy WebLinkAbout56123 NCSI NATIONAL CENTER FOR SAETY INITATIVES city INDIANA RETAIL TAX EXEMPT PAGE 1
F ATE NO 003120155 PT 0Carrnel
_CFEDE PURCHASE ORDER NUMBER
RAL EXCISE TAX EXEMPT
ONE CIVIC SQUARE ...,.......
35-60000972
C.ARIIEL,INDIANA 480-22-2E e 4
THIS
NUMBHER,ER IVER ER MUST APP PPEAR ONPA INVOICGEES,A/P
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
12/6/2021 12/07/21 27037 373567 Adult Volunteer Background Checks
NCSI National Center for Safety Initiatives DBA SSCI- Parks Maintenance
Southeastern Security Consulta 1427 E. 116th Street
VENDOR 807 Broadway Street, NE Suite 300 To P Carmel, IN 46032
Minneapolis, MN 55413-2490
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE L DESCRIPTION UNIT PRICE 1 EXTENSION
l
1.000 each Adult Background Check for Volunteers-Gerald Trostle 10/10 $ 18.500 $ 18.50
1.000 each Adult Background Check for Volunteers-Richard Wellinghof $ 18.500 $ 18.50
12/1
GLAccount# 1 1 25401-4341 990
Send Invoice To:
$37.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• 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
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 Lana Ramer )f^"' I ",^
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Volunteer Coordinator
CONTROLLER
DOCUMENT CONTROL NO. 7"":7, VENDOR COPY