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182514 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 254452 Page 1 of 1 ONE CIVIC SQUARE PURDUE UNIVERSITY CHECK AMOUNT: $20.00 CARMEL, INDIANA 46032 PARKING FACILITIES 504 NORTHWESTERN AVE CHECK NUMBER: 182514 WEST LAFAYETTE IN 47907 CHECK DATE: 2/1712010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4343002 20.00 EXTERNAL TRAINING TRA 96TH ANNUAL PURDUE ROAD SCHOOL MARCH 9 -11, 2010 REQUEST FOR PARKING PERMITS No orders will be accepted after March 2 Name A&14Airt_ f t4C,iS2jLi5. Agency /Organization CIrY dr �,QNlZL Mailing Address 5'kj�5_ 6/w& S©c9Apuz— City 6-AZg t- State rQ Zip W -32 Phone 03 17) 6 71 2qY) Fax 317 521- Z/ Email There will be no pre -sale permits for the Grant Street Garage. If you wish to park in the Grant Street Garage, simply take a ticket from the machine when entering the garage and pay using the automated machine in the lobby of the garage when you leave. Parking in the Grant Street Garage is $10.00/day. If you are a gust at the Union Club Hotel, you will receive a free parking permit upon check -in. You may purchase ahead of time an "A" type permit for ALL GARAGES EXCEPT GRANT STREET at $5.00 per day. There are several garages within walking distance of Stewart Center. Refer to the campus map in this brochure for garage locations. Quantity Total Permit for March 9,10,and 11 $15.00 Permit for March 9 ONLY $5.00 Z �o Permit for March 10 ONLY $5.00 Z �a Permit for March 11 ONLY $5.00 METHOD OF PAYMENT (Payment is required upon submission of this form with a check or credit card information. Parking Services does NOT have the capability to accept purchase orders or claim vouchers. You may fax your order to the number below.) Check enclosed, payable to Purdue University Please charge to my Credit Card: VISA MasterCard Discover Card Number Expiration Date Signature COMPLETE FORM AND RETURN TO: Parking Facilities Purdue University 504 Northwestern Avenue West Lafayette, IN 47907 Fax: 765 -494 -9492 Phone: 765- 494 -9497 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995 CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Parking Facilities Purchase Order No. 504 Northwestern Avenue Terms West Lafayette, IN 47907 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Fl�a R/a PaF'King PeFrnot Purdue Road Seheel March 10 11 201C $20.00 Please deliver check to ENG Dept. Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. .._WARRANT NO. Purdue University ALLOWED 20 Parking Facilities IN SUM OF 504 Northwestern Av enue West Lafayette, IN 47907 $20.00 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members PO# or DEPT N INVOICE NO. ACCT /FITLE AMOUNT I hereby certify that the attached invoice(s), or n/a nra ENG 4343002 $20.00 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund