Loading...
HomeMy WebLinkAbout198211 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 00352477 Page 1 of 1 4� ONE CIVIC SQUARE NATIONAL NOTARY ASSOCIATION CHECK AMOUNT: $104.00 CARMEL, INDIANA 46032 PROCESSING CENTER PO BOX 541032 CHECK NUMBER: 198211 LOS ANGELES CA 90054 -1032 CHECK DATE: 6/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4355300 104.00 ORGANIZATION MEMBER National No Association Membership A lication p F i• MEMBER INFORMATION Name Amanda Bennett NNA MEMBERSHIP If current member: j 4 �I Organization City of Carmel, Indiana Home 1 R Address Business �r I One Civic Square city Carmel State/Zip Indiana 46032 Daytime Phone 317 -571 -2473 Notary Commission Expiration Date January 5, 2017 eMail Address g I abennett @carmel.in. ov 1 NNA SECTION MEMBERSHIP* NNA MEMBERSHIP :5 re quired for a Section Me•nhershio. I Notary Signing Agent Small Business $32 year $52 Financial Corporate Services $32 2 years $89 You save $15.00! Healthcare $32 3 years $126...You save $30.00! Immigration $32 4 years $163... You save $45.00! International $32 I Legal Professionals $32 PAYMENT INFORMATION f a Check Enclosed (payable to National Notary Association) TU Visa MasterCard American Express Discover 1 Card Number Card Expiration Date I 4 Name on Card I Billing Address Signature I 1 Mail this application with your payment. r ®r fax with your credit card information to 1 -800- 833 -1211. f z Nr,T1<xvAi Nc)TARY Assoc;lATION PROCESSING CENTER P.O. Box 541032 i L Los ANGELES, CA 90054 -1032 r 1-800-US NOTARY (1 -800- 876 -6827) POW NATIONALNOTARY.ORG I I So Code 1 02010 National Notary Assocetoa 'NNA membersh ;p required for Section Membership ergibility. A31148] I ��Jh 1 f National Notary Association Membership Application t MEMBER INFORMATION Name A. Elaine Bass NNA MEMBERSHIP If current member: Organization City of Carmel, Indiana Home Address [I Business One Civic Square City Carmel State /Zip Indiana 46032 Daytime Phone 317 571 -2472 i Notary Commission Expiration Date October 23, 2016 j eMail Address ebass@carmel.in.gov 4 NNA SECTION MEMBERSHIP' NNA MEMBERSHIP is required for a Section Membership. Notary Signing Agent Small Business $32 i 1 year $52 1' Financial Corporate Services $32 2 years $89 You save $15.00! I Healthcare $32 3 years $126... You save $30.00! Immigration $32 4 years $163... You save $45.00! International $32 Legal Professionals $32 PAYMENT INFORMATION Check Enclosed (payable to National Notary Association) f RG MSC- Cri A7 85. Visa MasterCard El American Express El Discover Card Number Card Expiration Date Name on Card Billing Address Signature I t l Mail this application with your payment. Or fax with your credit card information to 1- 800 833 -1211. I N vnoNAL NC)T kRY A -ss( K IATION I 2 o PROCESSING CENTER I P.O. Box 541032 Los ANGELES, CA 90054-1032 ASSOCIATION 1-800-US NOTARY (1 -800- 876 -6827) 8 NATIONALNOTARY.ORG Source Code ©2 010 Nar Notary Association 'NNA membership required for Section Membership eligibility. A31148 INDIANA RETAIL TAX EXEMPT PAGE City of C CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT �j C� 35- 60000972 J 9� a+�r ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION SHIP VENDOR I�"Y`�4 Ceti$ J TO is S5y10S CONFIRMATION BLANKET CONTRACf PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION, 00 if f d °A g A s I cnav ;Uy o Send,invoice To: y 7 d} PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 'p PAYMENT A/P a� //i �7 �y�% NU 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. J/'�� THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE l AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO. 2 7 ®5 2 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.__.._..- WARRANT NO.._..__,--- ALLOWED 20 A— I IN THE SUM OF 9G�y -10 r d Woo ON A COUNT OF APPR0 ATION F i Board Members P INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s) or bill(s) is (are) true and correct and that the d materials or services itemized thereon for which charge is made were ordered and received except 3 20� i n.ture Title Cost distribution ledger classification if claim paid motor vehicle highway fund