HomeMy WebLinkAbout30218 IPRA C16 CERTIFICATE NO. 03120165 002 tl PAGE tY Carmel. PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 30218 1
35- 60000972
ONE CIVIC SQUARE 11415 NUMBER MUST APPEAR ON INVOICES, AM
CARMEL, INDIANA 46032 -2584 VOUCHER. DELIVERY MEMO. PACKING SLIP$.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DAZE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/21 /11 M000612 33810 Playground Safety Inspector Certificate Renewals
IPRA Maint 9 I -1f i Jcw
PC. Box888 SHIP PM e
VENDOR G CE: RC I N 40034 TO 1 F 1 i J I) +W
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COM'MMATIDN BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1 EA Course Exam registration Todd Synder $495.00 $495.00
1 EA Course Exam registration Rebecca Schmiesing $495.00 $495.00
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Send Invoice To; I
$990.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
1125 -4 -01- 4357004- External Instruction Fees PAYMENT
NP VOUCHER CANNOT BE APPROWD FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORD AFFIDAVIT ATTACHED
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE 15 IN UNOBUGATED BALANCE IN
•SHIP REPAID THIS APPROPRIATION SUFFICIENT A PAY FOR THE ABOVE ORDER
•C.O,D, SHIPMENTS CANNOT BE ACCEPTED. Todd Snyder I
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY y I ki–tet t i 1:,1 //AI(
SHIPPING LABELS
THIS ORDER ISSUED IIJ COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO
30218 CLERK TREASURER
DOCUMENT CONTROL NO. VENDOR COPY