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C ity of C arme l CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 5439
35- 6000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE:
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
8/26/11
C.L.
Coonrod Company
VENDOR '3850 Priority Way South Drive SHIP City of Carmel
i Suite #225 TO One Civic Square
Indianapolis,' IN 46240 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Professional Services for 2011 $30,000
Per Contract #0415.98.05 dated 4 -15 -1998.
and ContBerat Rider #0606.01.01 dated 6 -6 -2001
1 V.
t
Mayor's Office 1160
A/C 4340400 $18,000
A/C 4341999 $12,000
PLEASE INVOICE IN DUPLICATE $30,000
DEPARTMENT' ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
1 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 CERT IIF THAT RE IS AN UNOBLIGATED BALANCE IN
THIS APPROP I'. TAI .SUFFICIENT TO PAY F R THE -ABOVE ORDER.
SHIP PREPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 41
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. f t
THIS IS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 1,4
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 05 4 39 CLERK-TREASURER