HomeMy WebLinkAbout195831 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 356699 Page 1 of 1
ONE CIVIC SQUARE BAKER DANIELS LLP CHECK AMOUNT: $10,000.00
CARMEL, INDIANA 46032 300 NORTH MERIDIAN STREET
SUITE 2700 CHECK NUMBER: 195831
INDIANAPOLIS IN 46204
CHECK DATE: 3/29/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4340000 10178 10,000.00 LEGAL FEES
BAKER DANIELS LLP
300 NORTH MERIDIAN STREET, SUITE 2700
INDIANAPOLIS, INDIANA 46204 -1782
(317 )237 -0300
March 16, 2011
Invoice
Mayor James Brainard #10178
Carmel City Hall
One Civic Square
Carmel, IN 46032
Mail Remittance To
Baker Daniels
P.O. Box 664091
Indianapolis, indi -Ma 46256 -4091
FED. I.D. #35- 0837902
983588.1
Hamilton County Coalition /Legislative
March 2011 Retainer $10,000.00
Accounting 379076v
City. Carme* INDIANA RETAIL TAX EXEMPT PAGE
o CERTIF ICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
i I I FEDERAL EXCISE TAX EXEMPT
I 35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
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
VENDOR a �j SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
,a
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
49 000106
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Sent! Invoice To:
'PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT /4! c 00 U�)
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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. f
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 57
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL No-27415 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
r ALLOWED 20
e
IN THE SUM OF
se%?
�APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
T 15 1 g materials or services itemized thereon for
which charge is made were ordered and
received except____
Signature
Cost distribution ledger classification if j
claim paid motor vehicle highway fund