HomeMy WebLinkAbout26382 Amanda Bennett v O l .of I'�/ I Carmel l INDIANA RETAIL TAX EXEMPT PAGE
I(�/ CERTIFICATE NO. O. 003120155 155 00 002 0 PURCHASE ORDER NUMBER
Dt- 77Q// /t O! Z FEDERAL EXCISE TAX EXEMPT
35- 60000972 D 3 Q�
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ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AP
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR C�tt/lo e��ii SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE /DDE C RR II jj �v UNIT PRICE EXTENSION
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Send Invoice To: it c,---ii ji
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PLEASE INVOICE IN DUPLICATE -----,Th
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
7-30' -9e0 PAYMENT t0?/3
A�p,�- a p A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
(_'441 r-ete, 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 •••e ION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
t• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY -.0aIlleani■
SHIPPING LABELS. 1
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE I�I .�iaa
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
C LERK TREASURER
DOCUMENT CONTROL NO. 26382 OFFICE COPY
IUPUI PARKING SERVICES
X8112
IHDIAHAPOLIS, IR. 46202
TERMINAL I.D.: 0011340009583834393002
MERCHANT ID 9583834393
VISA
44$$$4t44402149
SALE
Barnes Noble 9 IUPUI RECORD q. 4 IHU: 088884
420 University Blvd DATE: DEC 20, 11 111E: 16:27
Suite 155 BATCH: 775
Indianapolis, IN 46202 RUTH: 04181C
317 278-2665
TOTAL $95.00
UN IUPUI
1
STORE:06310 REG:008 TRAN4:0477 AMANDA BENNETT
CASHIER:MALINA B
1 AGREE 10 PAY ABOVE TOTAL AMOUNT
HARV.LA /BLUEBOOK U ACCORDING 10 CARD ISSUER AGREEMENT
*USED* (MERCHANT AGREEMENT IP CREDIT VOUCHER)
2900615361160 T CUSTOlER COPY
(1 9 24.30) 24.30
HAMES /LEGAL RESEAR
*USED*
2900135109440 T I
(1 9 86.65) 86.65 _DPW
Subtotal 110.95
TI Sales Tax (07.000 7,77 :_O1
TOTAL 118.72 lr'�,,
VISA 118.72
Card XXXXXXXXXXXX2149
Expdate: XX /XX iub'oc,i
Auth: 07287C
Entry Method: Swiped Total Dye 4(25,00
I AGREE TO PAY ABOVE TOTAL AMOUNT 1 t
ACCORDING TO CARD ISSUER AGREEMENT
Rectipt: 484E74
V240.50
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