Loading...
HomeMy WebLinkAbout203148 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 00352011 Page 1 of 1 ONE CIVIC SQUARE RESERVE ACCOUNT CARMEL, INDIANA 46032 PO BOX 223648 CHECK AMOUNT: $5,100.00 PITTSBURGH PA 15250 -2648 CHECK NUMBER: 203148 CHECK DATE: 10/25/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 209 4342100 37241700 5,100.00 37241700 r Pitn Bowes o I rp Use this coupon for postage deposits. Make checks payable to Reserve Account. Reserve Account No.: 37241700 Reserve Account City of Carmel Mayors Office PO Box 223648 Pittsburgh, PA 15250 -2648 J L�rIIJ�Lr�I�LLLII�����LI�II���I��II��I��L�II ,�I�rLl�l y /00 Send with check to: Reserve Account, PO Box 223648, Pittsburgh, PA 15250 -2648 Mail overnight checks to: Reserve Account, Attn: Box 223648, 500 Ross Street, Suite 154 -0460, Pittsburgh, PA 15262 -0001 The Pitney Bowes Bank, Inc. Member FDIC 372417000 j 9 yY sL. i f� I(\ INDIANA RETAIL TAX EXEMPT PAGE City ®,Jjr CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER 0t�'4K j NL�V 7 flu) FEDERAL 5- EXC 0972 EXEMPT y nL/ 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 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION VENDOR �t� SHIP TO CONFIRMATION BLANKET CONTR CT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 76, ue a, t W e Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1207 o- PAYMENT �s� /l�0 •DD A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND •cam 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 /!/�J' ®�y�' A,/ SHIPPING LABELS. ��C/�f. 1 /l o ms /�J/�" x( THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO. 2 A.P.V. COPY -SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO.__ ALLOWED 20 IN THE SUM OF ON A COUNT OF APPROPRIATION FOR PO# or Board Members INVOICE NO, ACCT #/fITLE AMOUNT I hereby certify that the attached invoice(s), or L 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 e 20 2 ure Title Cost distribution ledger classification if claim paid motor vehicle highway fund