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HomeMy WebLinkAbout200467 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 362203 Page 1 of 1 ONE CIVIC SQUARE HILTON CHICAGO TOWERS CHECK AMOUNT: $964.76 CARMEL, INDIANA 46032 720 S MICHIGAN AVE CHICAGO IL 60605 CHECK NUMBER: 200467 CHECK DATE: 8/17/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4343002 964.76 EXTERNAL TRAINING TRA Milton Chicago Towers 720 S. Michigan Ave Chicago, IL 60605 Preliminary Invoice of Charges Name: Blanchard, James Mast, Darren Room Room Total Total for Deposit Total After Name Arrival Departure Nights Rate Tax Rm Tax Stay Due Deposit Blanchard, James -11 1�S�p -11 2 $209.00 $32.19 $241.19 $482,38 $0.00 $482.35 Mast, Darren Se 11 18- ,Np -11, 2 $209.00 $32.19 $241.19 $482.38 $0.00 $482.38 TOTAL FOR STAY $964.76 ADVANCE DEPOSIT PAID $0 Grand Total Due for Entire Stay:- $964.76 —This is a total excluding any incidental charges or changes to the reservation effecting room rate or length of stay Please Make Checks Payable To: Chicago Hilton and Towers Attn: Jennifer Hughes, Finance 720 S. Michigan Avenue Chicago, IL 60605 Bass, Elaine A From: Bass, Elaine A Sent: Monday, August 01, 2011 5:03 PM To: Hollibaugh, Mike P Cc: Haney, Douglas C; Blanchard, Jim E Subject: FW: Purchase Confirmation No. 18135060 (Jim Blanchard) FYI From: Trina Shropshire Paschal fmailto:Trina@imla.org] Sent: Monday, August 01, 20114:34 PM To: Bass, Elaine A Subject: FW: Purchase Confirmation No. 18135060 (Jim Blanchard) Your Copy. Trina Trina Shropshire Paschal I Associate Director for Events International Municipal Lawyers Association 7910 Woodmont Avenue, Suite 1440 1 Bethesda, Maryland 20814 T 202.466.5424 x 7102 1 F 202.785.0152 Future Events 2011 Annual Conference I Chicago, IL I Sept. 11 -14 Teleconferences J visit www.imla.or for listing A Sr From: trinaC@imla.org [mailto:trina@imla.org] Sent: Monday, August 01, 20114:25 PM To: ilanchard@carmel.in.gov Cc: Trina Shropshire Paschal Subject: Purchase Confirmation No. 18135060 (Jim Blanchard) Dear Jim Blanchard, THANK YOU. This is your confirmation/invoice and receipt for your purchase. For your records, here is a summary of your purchase from The International Municipal Lawyers Association (Federal ID# 53 -0214 -280). Please contact Trina or Brandi directly if you have a question regarding membership or events. TRINA SHROPSHIRE PASCHAL: EVENTS trina �imla.org and BRANDI TEEL: MEMBERSHIP bteel@imia.org. Forward Check Payments to: International Municipal Lawyers Association, 7910 Woodmont Avenue, Suite 1440, Bethesda, Maryland 20814 Date /Time: 8/1/2011 4:24 PM Purchased By: .Tim Blanchard Customer ID: 11558700 (Organization: Carmel, Indiana) (317) 571 -2472 j bl anchard(� carme 1. in. go v Your confirmation number is: 18135060 Please keep this number for any references. Shopping Cart Items Amount Quantity Total Code Enforcement 2011 Main Registration Badge Name: Jim $300.00 1 $300.00 Event Subtotal $300.00 Taxes $0.00 Shipping $0.00 Invoice Total $300.00 Grand Total $300.00 Payment $0.00 Order Balance $300`00 Shipping Billing Information Billing Address: Jim Blanchard One Civic, Square Carmel -IN 46032 United- States (317) 571 -2472 jblanchardc�,carmel.in.gov Payment Information Payment Amount: 50.00 Payment= Method: Bill Me 2 CODE ENFORCEMENT CONFERENCE 2011 Program subject to change Saturday, September 10 8:00 a.m. Registration 8:30 a.m. Service of Process and Notice Peter Letzmann, Attorney, Mediator and Consultant [MLA Michigan State Chair, MAMA Professionalism and Education Committee, Chair GVSU 10:00 a.m. New Section Business Meeting: Adoption of Bylaws and Election of Officers 10:15 a.m. Break 10:45 a.m. Searching for Problems: Administrative Warrants and Code Enforcement (Fourth Amendment issues) Thomas Carpenter, Little Rock, AR 11:45 a.m. Look Before You Lead How Code Officials and City Attorneys Can Effectively Plan Enforcement Nicholas Spiropoulos, Borough Attorney, Matanuska- Susitna Borough, AK 12:45 p.m. Lunch (on your own) 2:00 p.m. Tales from the Last Frontier: "GOV -zilla Meets the Parking Fairies" "When Towing Becomes Predatory Julia Tucker, Assembly Counsel, Anchorage, AK, 3:00 p.m. Junkyard "Dog" Cases: Enforcement of Codes and Remedies Daniel Crean, Crean Law Office, Peynbroke, NH The ABCs of Green Junkyards James Watson, ABC Auto Parts Sunday, September 11 8:30 a.m. As the Rooster Crows: Chickens and Other Exotic Pets Marianne Landers Banks, Assistant City Attorney, City of Springfield, N40 Law Department 9:15 a.m. Signs, Signs Everywhere a (Digital' Sign: Issues in Code Enforcement David Ives, Assistant City Attorney, Murfreesboro, TN 10:20 a.m. Break 10:30 a.m. Effective Witness Preparation for Trial Ginger Wald, Assistant City Attorney, Ft. Lauderdale, FL a IM LA Trial Techniques Best Practices y h t GoP,vP,vu! Patti Gregory Chang, Senior Counsel, City of Chicago, 1L Hon. Andy Wright, City Judge, City of Mt. Juliet, TN and City Attorney, City of Lebanon, TN f GIGAGD.— -P Noon Lunch (on your own) S Y I 201 �t £t t X 3 1:00 P.M. Walking Land Use Tour (free, but sign a x, 6:00 p.m. IMLA Welcome Reception IM 76" Avwwal. For program updates to register online visit our web site: http:l /www.imla.org —CYlICAQ70 Se�i�.ivrl,I�er Y —14, 20Y 1 IMLA's 76 Annual Conference Chicago Hilton Hotel REGISTRATION INFORMATION Name Title Badge Name Local Government Entity Address City State Zip Phone Fax E -mail Guest Name Guest Badge Name (Complete only if registering Guest) Badges are required for all functions. Please indicate your registration type and options listed below (check all that apply) Guest Registrant lsee below) Luncheon Ticket(s) $75.00 each, No. of ticket(s) (only guest need to purchase) CLE Credits, please specify state(s) Your Bar No's. INSTITUTE: FOR LOCAL GOVERNMENT LAWYERS (ILGL) $100 to register. For more information visit www,imla.org Registration Fees include: Admission to all sessions, conference materials, IMLA social functions, Monday and Tuesday luncheons and all coffee breaks (not applicable to guest). Guest Fees include: Attendance at the social events. Cancellation Refund Policy: Cancellations must be received in writing by August 1, 2011 to qualify for a refund. All cancellations are subject to a $50.00 administrative processing fee. After August 1, 2011 those not attending will receive the event materials in full consideration of registration fees paid. Replacements are always welcomed. Guest Cancellations are subject to a $25.00 administrative processing fee. All refunds will be remitted 90 days after the event. Send all cancellations in writing to the IMLA Events Department. Discounted Registration Fees Expire 15 Days After Rate Ends, If Payment Is Not Received, Next Rate Will Apply. The discounted registration fees below are available for those staying in IMLA Conference Hotel, otherwise $100 will be added to your registration fee to help defray IMLA Conference expenses (local attendees exempt from $100). Conference payment must be received within 15 days. HARD GOPY POLICY: Registration fees include USB of speaker's materials. These materials will also be available for registrants from (MLA's web site one to two weeks prior to the meeting. If you require paper copies of speaker materials you must add an additional $120 to your registration fee and check here. FOUR EASY WAYS TO REGISTER! MAIL: IMLA, 7910 Woodmont Avenue Suite 1440 Bethesda, MD 20814 PHONE: 202 466 -5424 FAX: 202- 785 -0152 E -MAIL: info @imla.org Super Early REGISTRATION PAYMENT INFORMATION Saver Rate Bird Rate Regular Rate Registration Ends Ends Rate Ends After Bill Me Check Enclosed Visa MasterCard Type 5/31/11 8/16/11 9/01/11 9/01/11 Make all checks payable to IMLA; U.S. currency only First Member $650 $700 $775 $875 Addt'l. Member $625 $675 $700 $825 Amount 3 or More From Name Same Office Each person $350 $400 $475 $500 Card No. Judicial $355 $355 $355 $355 Nonmember $1,322 $1374 $1,500 $1,600 Exp.Date Guest of Seminar Signature Registrant $125 $125 $150 5200 INDIANA RETAIL TAX EXEMPT PAGE r ty C armel CERTIFICATE NO. 0031 201 55 002 0 PURCHASE ORDER NUMBER Dt s I f FEDERAL EXCISE TAX EXEMPT /7j� 35- 60000972 I j t(✓ ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SUPS, FARM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. DURCHAS DATE DATE REQUIRED REQUISITION NO. VENDOR NO. D ESCRIPTION p4 Ii b— SHIP VENDOR 4 TO rf �.�'�l.C,��� -°lam f CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION I e e� �0 i b aY C: L/ m Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPAR ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT �aw /f 0 /,34 L PAYMENT g A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NU 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.Q.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO, CLERK TREASURER DOCUMENT CONTROL No-27861 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF O ACCOUNT OF APPP I TiON FOR Board Members POD or INVOICE NO. ACCT #(TITLE AMOUNT I hereby certify that the attached invoice(s), or �►�yQ bills) is (are) true and correct and that the materials or services itemized thereon for which charge is made Were ordered and received except 20 1) ature Titi Cost distribution ledger classification if J claim paid motor vehicle highway fund Hilt Hilton Chicago Towers 720 S. Michigan Ave Chicago, IL 60605 Preliminary Invoice of Charges Name: Blanchard, James Mast, Darren Room Room Total Total for Deposit Total After Name Arrival Departure,, Nights Rate Tax Rm Tax. Stay Due Deposit Blanchard, James 6'e 1 1q-Sep 11 2 $209.00 $32.19 $241.19 $482.38 $0.00 $482.38 Mast, Darren 1 -11 18- 11 2 $209.00 $32.19 $241.19 $482.38 $0.00 $482.38 .Srf 11 TOTAL FOR STAY $964.76 ADVANCE DEPOSIT PAID $0.00 G ran d T otal Due for Entire Stay: —'This is a total excluding any incidental charges or changes to the reservation effecting room rate or length of stay Please Make Checks Payable To: Chicago Hilton and Towers Attn: Jennifer Hughes, Finance 720 S. Michigan Avenue Chicago, IL 60605 Stewart, Lisa M From: Hilton Hotels Resorts Confirmed [hiltonhotels &resorts @res.hilton.com] Sent: Friday, August 12, 2011 12:04 PM To: Stewart, Lisa M Subject: Hilton Hotels Resorts Confirmation #3438659898 i, Hilton.Ch1cago 720 South Michigan Avenue a Chicago, IL m l'rt p� United States, 60605 Tel: 1 312- 922 -4400 Fax: 1 312- 922 -5240 Confirmation Number: 3438659898 Click here to view or edit your reservation. l aH1LT� Ise sA°` Name: Darren Mast Arrival Date: 09 Sep 2011 x EARN INIG iPDI NT5 Departure Date: 11 Sep 2011 Tl315 8C3DKJMG Fold a Check -in Time: 3:00 PM "FREE STA'�� r4 Check -out Time: 12:00 AM fhT 10 1 1N x Rate Information: Rate per night: 209.00 USD Total for Stay per Room: Rate 418 -00 USD Taxes 64.37 USD Total 482.37 USD Total for Stay: 482.37 USD r" r Includes estimated taxes and service charges. (Gratuities not included.) Hilton Requests Tax: 0 Upon ArrivalT"' There is a 15.40% Per Room Per Night tax. Arrange for.amenities Additional Charges: in your room prior to Valet parking: 55.00 /night Self parking: 43.00 /night your arrival. Pre order snacks, extra Rate Rules and Cancellation Policy: towels and more Your reservation is guaranteed for late arrival. Please contact us should you need to cancel your reservation. Cancellations are required by 11:59 PM on 08 Sep 2011 local hotel time. Earn up to 30,000 Cancellation penalties may apply. HHonors points with the no- annual fee Hilton HHonors Room Information: Card from American Rooms: 1 Express Earn Clients: 1 Adult 20,000 HHonors Room Type: 1 DOUBLE BED bonus points after 1 your first purchase on To Help You Along on Your Journey... the card! Click here to learn more and Our Hotel: apply. Tour the Hotel Accommodations Hotel Factsheet HILTON Services and Amenities: HHQNORS Energize with Hilton Fitness by Precor Hotel Services and Amenities Dining Options: Our Restaurants Visit Hilton,com for great specials, packages and products. Sign up to receive weekly email offers and click here to shop for your favorite Hilton products. Service of alcoholic beverages is subject to state and local laws. Must be of legal drinking age. Hilton Requests Upon Arrival` items are subject to availability. Hilton Worldwide will not contact you by telephone, text message or e-mail to ask for your confidential personal information, credit card details or HHonors account login information related to upcoming stays or your account. Anyone who receives this type of request should not respond to it. We also ask that you please notify us at fraud alertng hilton.corn should you receive such a communication. If you need to MODIFY or CANCEL your reservation, click here Any change to the arrival date, departure date or room type of this reservation is subject to the hotel's availability at the time the change is requested and may result in a possibie rate change or an additional fee. For example, shortening or lengthening your reservation is subject to availability and may not be possible at a later date. For more information, please click here to see all the rules and restrictions applicable to this reservation. If you have questions regarding your reservation, please contact Hilton Reservations and Customer Care at 1- 800 HILTONS (445 -8667) click here or email us at hiltonhelp @hiltonres.com. Hilton HHonors membership, earning of Points Miles and redemption of points are subject to HHonors Terms and Conditions ABOUT THIS EMAIL Please do not reply to this email. Mail sent to this address cannot be answered. For a full description of our privacy policy, please click here Update Your Profile Ensure you receive the most relevant information from Hilton Worldwide and manage your email subscriptions by signing in and updating your profile Unsubscribe To unsubscribe from all marketing email from Hilton Worldwide, please send an email with the subject line "Unsubscribe" to e_opt_out @hilton.com. Opting out from all Hilton Worldwide marketing email will prevent you from receiving your monthly HHonors My Way Activity Statement. However, you can continue to check your account by logging into your profile or by calling 1- 800- HHONORS. Outside the United States and Canada, please dial 800 44 45 86 67 for assistance. Please allow up to 10 business days for processing opt -out requests. You will continue to receive transactional email messages such as reservation confirmations. If you prefer to unsubscribe via postal mail, please send your name, HHonors Account Number (if applicable) and email address to Hilton Internet Contact Center, PO Box 9045, Addison, TX 75001 -9045 USA. Notice of Confidentiality: This message and any attachments may contain confidential information. If it has been sent to you in error, please reply to advise the sender of the error and then immediately delete this message. indicates a trademark of Hilton Worldwide. @2011 Hilton Worldwide Hilton Reservations and Customer Care 12050 Chennault Drive I Carrollton, Texas 75006, USA 2 CODE ENFORCEMENT CONFERENCE 2011 Program subject to change Saturday, September 10 8:00 a.m. Registration 8:30 a.m. Service of Process and Notice Peter Letzmann, Attorney, Mediator and Consultant INILA Michigan State Clair 'si.: lA Professionalzsrt and Education Committee, Chair GVSU 10:00 a.m. New Section. Business Meeting: Adoption of Bylaws and Election of Officers 10:15 a.m. Break 10:45 a.m. Searching for Problems: Administrative Warrants and Code Enforcement (Fourth Amendment issues) Thomas Carpenter, Little Rock, AR 11:45 a.m. Look Before You Leap: How Code Officials and City Attorneys Can Effectively Plan Enforcement Nicholas Spiropoulos, Borough Attorney, Matanuska- Susitna Boron lt, R 12:45 p.m. Lunch (on your own) 2:00 p.m. Tales from the Last Frontier: "GOV -zilla Meets the Parking Fairies" "When Towing Becomes Predatory Julia Tucker, Assembly Counsel, Anchorage, AK, 3:00 p.m. Junkyard "Dog" Cases: Enforcement of Codes and Remedies Daniel Crean, Crean Law Office, Pembroke, NH The ABCs of Green Junkyards James Watson, ABC Auto Parts Sunday, September 11 8:30 a.m. As the Rooster Crows: Chickens and Other Exotic Pets Marianne Landers Banks, Assistant City Attorney, City c Springfield, N10 Laiv f)0r�art��3ertt 9:15 a.m. Signs, S igns, Everywhere a (Digital) Sign: Issues in Code Enforcement David Ives, Assistant City Attorney, Murfreesboro, TN 10:20 a.m. Break 10:30 a.m. Effective Witness Preparation for Trial Ginger Wald, Assistant Cite Attornev,.Ft. Lauderdale, FL IMLA 76"' AvwuAcEi, Trial Techniques Best Practices Patti Gregory Chang, Senior Counsel, City of Chicago, IL C��'�� }C Hon. Andy Wright, City Judge, City of Mt. Juliet, TN and Cite Attorney, City of Lebanon, TN CHIGA(44— S teml� 1 Y 14, 2Q. 1 Noon Lunch (on your own) 1:00 P.M. Walking, Land Use Tour (Free, but sign u�?) 6:00 p.m. IMLA Welcome Reception IMLA 76 "Annual C&n fexe ncee! L For program updates to register online�� visit our web site: http: /www.imla.org --CxGO th S� 11 --14, 2011. IMLA 's 76 Annual Conference Chicago Hilton Hotel REGISTRATION INFORMATION Name Title Badge Name Local Government Entity Address City State Zip Phone Fax E -mail Guest Name Guest Badge Name (Complete only if registering Guest) Badges are required for all functions. Please indicate your registration type and options listed below (check all that apply) El Guest Registrant (see eeiow) Luncheon Ticket(s) $75.00 each, No. of ticket(s) (only guest need to purchase) CLE Credits, please specify state(s) Your Bar No's. INSTITUTE FOR LOCAL GOVERNMENT LAWYERS (ILGL) $100 to register. For more information visit www.imla.org Registration Fees include: Admission to all sessions, conference materials, IMLA social functions, Monday and Tuesday luncheons and all coffee breaks (not applicable to guest). Guest Fees include: Attendance at the social events. Cancellation f Refund Policy: Cancellations must be received in writing by August 1, 2011 to qualify for a refund. All cancellations are subject to a $50.00 administrative processing fee. After August 1, 2011 those not attending will receive the event materials in full consideration of registration fees paid. Replacements are always welcomed. Guest Cancellations are subject to a $25.00 administrative processing fee. All refunds will be remitted 90 days after the event. Send all cancellations in writing to the IMLA Events Department. Discounted Registration Fees Expire 15 Days After Rate Ends, If Payment Is Not Received, Next Rate Will Apply. The discounted registration fees below are available for those staying in IMLA Conference Hotel, otherwise $100 will be added to your registration fee to help defray IMLA Conference expenses (local attendees exempt from $100). Conference payment must be received within 15 days. HARD COPY POLICY: Registration fees include USB of speaker's materials. These materials will also be available for registrants from IMLA's web site one to two weeks prior to the meeting if you require paper copies of speaker materials you must add an additional $120 to your registration fee and check here. FOUR EASY WAYS TO REGISTER! MAIL: IMLA, 7910 Woodmont Avenue Suite 1440 Bethesda, MD 20614 PHONE: 202 -466 -5424 FAX: 202 785 -0152 E -MAIL: info @imla.org Super Early REGISTRATION PAYMENT INFORMATION Saver Rate Bird Rate Regular Rate Registration Ends Ends Rate Ends After F Bill Me [I Check Enclosed El Visa El Master Card Type 5/31/11 8/16/11 9/01/11 9/01/11 Make all checks payable to IMLA; U.S. currency only First Member $650 $700 $775 $875 Addt'l. Member $625 $675 $700 $825 Amount 3 or More From Name Same Office Each person $350 $400 $475 $500 Card No. Judicial $355 $355 $355 $355 Nonmember $1,322 $1374 $1,500 $1,600 Exp.Date Guest of Seminar Signature Registrant $125 $125 $150 $200 Bass, Elaine A From: Bass, Elaine .A Sent: Monday, August 01, 2011 5:03 PM To: Hollibaugh, Mike P Cc: Haney, Douglas C; Mast, Darren Subject: FW: Purchase Confirmation No. 18135070 (Darren Mast) FYI From: Trina Shropshire Paschal fmailto:Trinaaimla.org] Sent: Monday, August 01, 20114:33 PM To: Bass, Elaine A Subject: FW: Purchase Confirmation No. 18135070 (Darren Mast) Your copy. Trina Trina Shropshire Paschal I Associate Director for Events International Municipal Lawyers Association 7910 Woodmont Avenue, Suite 1440 J Bethesda, Maryland 20814. T 202.466.5424 x 7102 1 F 202.785.0152 Future Events 2011 Annual Conference I Chicago, IL I Sept- 11 -14 Teleconferences I visit www.imla.ore for listing PAP- P ,f. From: trina @imla.org [mailto:trina @imla.orgj Sent: Monday, August 01, 2011 4:32 PM To: dmast @carmel.in.gov Cc: Trina Shropshire- Paschal Subject: Purchase Confirmation No. 18135070 (Darren Mast) Dear Darren Mast, THANK YOU. This is your confirmation/invoice and receipt for your purchase. For your records, here is a summary of your purchase from The International Municipal Lawyers Association (Federal TD# 53- 0214 -280). Please contact Trina or Brandi directly if you have a question regarding membership or events. TRINA SHROPSHIRE- PASCHAL: EVENTS trinagimla.or and BRANDI TEEL: MEMBERSHIP bteelgimla.org Forward Check Payments to: International Municipal Lawyers Association, 7910 Woodmont Avenue, Suite 1440, Bethesda, Maryland 20814 Date /Time: 8/1/2011 4:31 PM Purchased By: Darren Mast Customer ID: 11558950 i (Organization: Carmel, Indiana) (317) 571-2450 dmast@cannel.in.go Your confirmation number is: 18135070 Please keep this number for any references. Shopping Cart Items Amount Quantity Total Code Enforcement 2011 Main Registration Badge Name: Darren $300,00 1 $300.00 Event Subtotal $300.00 Taxes $0.00 Shipping $0.00 Invoice Total $300.00 Grand Total $300.00 Payment $0.00 Order Balance $300.00 Shipping Billing Information Billing Address: Darren Mast One Civic Square Carmel W 46032 United States. (317) 571-2450 dmastgcarmel.in.go Payment Information Payment Amount: $0.00 .Payment Method: Bill Ale 2 C it y o J �Jl�" /f Ili/ armel INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER f f d /j FEDERAL EXCISE TAX EXEMPT (77 2 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED 8Y STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION VENDOR (�l SHIP TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 1 x j 1 rt Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT 1130 X/900,'2-1 PAYMENT �Y° ��o� 3 K St y-Ji�z 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 A80VE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 1 G t Fl 3f AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. r CLERK TREASURER DOCUMENT CONTROL NO. 2 7 8 6 2 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 P IN THE SUM OF 0A ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO, ACCT #fnTLE AMOUNT I hereby certify that the attached invoice(s), or g 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 Title -Cost distribution ledger classification it claim paid motor vehicle highway fund