163965 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 00353210 Page 7 of 1
s ONE.CIV{C SQUARE STRAFFORD PUBLICATIONS, INC CHECK AMOUNT: $419.95
q, CARMEL, INDIANA 46032 590 DUTCH VALLEY ROAD NE
POSTAL DRAINER 13729 CHECK NUMBER: 163965
ATLANTA GA 30324 -0074
CHECK DATE: 911712008
DEPART ACC PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 W 4355200 1634801 419.95 SUBSCRIPTIONS
Strafford Publications, Inc. Ref No.: 1634801
590 Dutch Valley Road, N.E. Date: 05/21/08
PO Box 13729 Atlanta, GA 30324 -0729 Your PO#
Phone: (404) 881 -1141 Fax: (404) 881 -0074
800 -926 -7926 custserv@straffordpub.com t I N V O I C L
www.straffordpub.com
Bill to: Ship to:
44r. Douglas Haney Mr. Douglas Haney
City Attorney City Attorney
City Hall City Hall
One Civic Square One Civic Square
Caramel IN 46032 Caramel IN 46032
Municipal Litigation Reporter
12 issues 397
Shipping 22.95
Credit
TOTAL DUE $419.95
Charge my:
Thank you for your order.
MC /VISA /AMEX /DISC Exp Date Terms: Net 10 days
Signature
(required)
To keep your record current, please provide us with the following information:
Email: dhaney @carmel.in.gov
Phone: 317 -571 -2482
Fax: 317 -571 -2484
Please include a copy of this form with payment or note order on your check.
Partial payments or credits have been reflected in the "Total Due" shown.
Payable to: Strafford Publications Inc. FEIN: 58- 1592698 Eff# 1
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INDIANA RETAIL TAX EXEMPT PAGE
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®f C armel 4 C PURCHASE ORDER NUMBER
t FEDERAL EXCISE TAX EXEMPT J
35-60000972 t
ONE -CIVIC SQUARE THIS NUMBER MUST APPEAR ON'INVOICES, A!P
CARMEL, :INDIANA 46032 -2584 VOUCHER DELIVERY MEMO, PACKING SLIPS.
1 SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD-OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCKASVORDER DATE ,DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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VENDOR C?f�lirs�,1°t I •t- TO
CONFIRMATION BLANKET CONTRACT r PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION T UNIT PRICE
r EXTENSION r
4 75
PA
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Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMEN r y es
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
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID,
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHAS ORDER NUMBER MUSTAPPEAR ON ALL ORDERED BY
E
SHIPPING LABELS. a t
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE t
AND ACTS AMENDATORY THEREOF AND SU PPLEMENT THERETO. 1
1 8 7 q CLERK- TREASURER
DOCUMENT CONTROL'NO. A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._ WARRANT NO._
ALLOWED 20
IN THE SUM OF
ON A OUNT OF APPROP "ATION FOR
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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
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