HomeMy WebLinkAbout172954 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 358447 Page 1 of 1
ONE CIVIC SQUARE NATIONAL TECHNICAL INFORMATION g CHECK AMOUNT: $39.00
CARMEL, INDIANA 46032 5285 PORT ROYAL RD
SPRINGFIELD VA 22161
CHECK NUMBER: 172954
CHECK DATE: 5/27/2009
DEPARTMENT ACCO UNT PO NUMBER INVOIC NUMB AMOUNT DESC
601 5023990 51809 39.00 OTHER EXPENSES
U.S. DEPARTMENT OF COMMERCE ORDER FORM
NATIONAL TECHNICAL INFORMATION SERVICE NTIS
Order Most Products Online at http: /www.ntis.gov
SHIP TO ADDRESS (please print or type) ORDER BY PHONE (EUMNATE MAIL TIME)
CUSTOMER MASTER NUMBER (IF KNOWN) DATE HO a.m. HO p.m. Eastern Time, M F.
f Sales Desk: 1- 800 553 -NTIS (6847) or (703) 605 -6000
i TDD: (703) 487 -4639 (8:30 a.m. 5:00 p.m.)
ATTENTION/NAME 1 1
CUSTOMER SERVICE
E -mail: customerservice@ntis.gov
RGANI ATION DIVISION RO M NUMBER Phone: 1- 888 -584 -8332 or (703) 605 -6050
S E DDRESS n ORDER BY FAX (703) 605 -6900
i c To verify receipt of tax call: (703) 605 -6090,
4 1 :S 7:00 a.m. 5:00 p.m. Eastern Time, M -F.
CITY ST� t ZIP CODE
i ORDER BY MAIL
National Technical Information Service
PROVINCE TERRITORY INTERNATIONAL POSTAL CODE 5285 Port Royal Road
Springfield, VA 22161
COUNTRY RUSH SERVICE is available for an additional fee.
Call 1 -800- 553 -6847 or (703) 605 -6000.
P HONE NUMBER z-2 FAX NUMBER CERTIFICATION SERVICE is available for art additional
1 I 6 (317 I ol fee. This service guarantees that you are receiving the official
CONTA T NAME INjERNET E -MAIL A D iE publication. Call 1- 800 553 -6847 or (703) 605 -6000.
V1 V L INVOICING FEE (U.S., Canada, and Mexico only)
V NTIS will gladly bill your order, for an additional fee of $15.00.
A request to be invoiced must be on a purchase order or compa-
METHOD OF PAYMENT (please print or type) ny letterhead. An authorizing signature, contact name, telephone
number, and Tax Identification Number (TIN) should be included
VISA MasterCard American Express Discover with this request. Requests may be mailed or faxed.
CREDIT CARD NUMBER EXPIRATION DATE MULTIPLE COPY DISCOUNTS Please call the Sales Desk at
1- 800 553 -NTIS (6847) or (703) 605 -6000 for information on
multiple copy discounts available for certain documents.
CARDHOLDER'S NAME
ALL SALES ARE FINAL NTIS electronically stores many of
the 3 million items in our collection and custom reproduces
a single copy specifically for your order. Therefore, NTIS does
NTIS Deposit Account Number: not accept cancellations, requests for modifications, or returns
for credit or refund. All sales are final. NTIS strives to provide
heck /Money Order enclosed for (PAYABLE TO NTIS IN U.S. DOLLARS) quality products, reliable service, and fast delivery. Please
Your check will be converted into an electronic fund transfer see hltp: /www,nlis.gov /help /eft.aspx for details. contact Customer Service for a replacement within 30 days if
the item you receive is defective or if we have made an error in
filling your order.
PRODUCT SELECTION (please print or type)
Most of the documents available from NTIS are reproduced on demand from our electronic archive and are not original stock.
QUANTITY PLEASE INDICATE OUTPUT
PRODUCT TITLE NTIS PRODUCT NUMBER 1 PRICE i ON- DEMAND DEMAND 0in TOTAL PRICE
ar a_� 55 Q�q/g s33A
I-4 t c-M C n
SHIPPING AND HANDLING FEES SUB -TOTAL (Value of Order) 33 Dc)
Value of Order U.S. and territories Canada and Mexico Outside North America SHIPPING HANDLING FEE Q�
$0- $6 $12 $30 SEE CHART Q
$101 4999 6% 12% GRAND TOTAL 3
$1,000 $4,999 4% 8% 30% 7&Uwe YW O V64M ald'm!
$5,000+ 3.5% 7% Prices subject to change.
2Qs,19 -01
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
TNTIS
NATIONAL TECHNICAL INFORMATION SERVI( Purchase Order No.
5285 PORT ROYAL ROAD Terms
SPRINGFIELD, VA 22161 Due Date 5/18/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/18/2009 51809 $39.00
I 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
Date icer
VOUCHER 091839 WARRANT ALLOWED
TNTIS IN SUM OF
N� TECHNICAL INFORNQON
5285 PORT ROYAL ROAD j�
SPRINGFIELD, VA 22161,
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
51809 01- 6200 -02 $39.00
s
Voucher Total $39.00
h Cast distribution ledger classification if
claim paid under vehicle highway fund