HomeMy WebLinkAbout169128 02/17/2009 a ti CITY OF CARMEL, INDIANA VENDOR: 254452 Page 1 of 1
`I. ONE CIVIC SQUARE PURDUE UNIVERSITY CHECK AMOUNT: $30.00
�4 CARMEL, INDIANA 46032 PARKING FACILITIES
504 NORTHWESTERN AVE CHECK NUMBER: 169128
WEST LAFAYETTE IN 47907
CHECK DATE: 2/17(2009
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMB AMOUNT DESCRIPTION.
2200 434300.2 30.00 PARKING PASSES
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95TH ANNUAL PURDUE ROAD SCHOOL
MARCH 10 -12, 2009
REQUEST FOR PARKING PERMITS
No Orders Will be Accepted After March 3
Name C/� f�E,JA---
First Name Middle Initial Last Name
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Agency /Organization C 17 0/- C' ni c c.e iN G
Mailing Address C D1V _X C V i C_ u Avg
City Add /-1 E L_ State Zip -�Z 6 o 2.2
3 7) 5 7 7 s—;7 7-1
Phone Fax E -mail
There will be no pre sale of parking permits for the Grant Street Garage If you
wish to park in the Grant Street Garage, simply take a ticket from the machine when
entering the garage and pay using the automated machine in the lobby of the garage
when you leave. Parking in the Grant Street Garage is $10.001day. If you are a guest at
the Union Club Hotel, you will receive a free parking permit upon check -in.
You may purchase ahead of time an "A" type permit for ALL GARAGES EXCEPT
GRANT STREET at $5.00 per day. There are several garages within walking distance of
Stewart Center. Refer to the campus map in this brochure for garage locations.
Quantity Total
Permit for March 10, 11 12 $15.00
Permit for March 10 ONLY $5.00
Permit for March 11 ONLY $5.00 4 1 4 5 o o
Permit for March 12 ONLY $5.00
METHOD OF PAYMENT (Payment is required upon submission of this form with a check
or credit card information. Parking Services does NOT have the capability to accept
purchase orders or claim vouchers. Only credit card orders will be accepted by fax at
the number below; orders paid by check must be mailed with the check to the address
below.
Check enclosed, payable to Purdue University
Please charge to my Credit Card:
VISA MasterCard Discover
Card Number Expiration Date
Signature
COMPLETE FORM AND RETURN T®:
Parking Facilities
Purdue University
504 Northwestern Avenue
West Lafayette IN 47907
1
Fax: 765 494.9492
Phone: 765- 494 -9497
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Purdue University
Payee
Parking Facilities Purchase Order No.
504 Northwestern Avenue Terms
West Lafayette, IN 47907 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoices) or bill(s))
n/a n1a Parl"'61-11�g Perm't Purdue Road School March 10 11 2M, $30.00
Please deliver check to ENG Dept.
Total
30.00
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
Purdue University'
ALLOWED 20
Parking Farilities IN SUM OF
504 Northwestern Avenue
West Lafayette, IN 47907
$30.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n/a nra ENG 4343002 $30.00 bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
41 sW n 20
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund