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211615 08/14/2012 - CITY OF CARMEL, INDIANA VENDOR: 00350847 Page 1 of 1 ONE CIVIC SQUARE ALI-ABA COMM ON CONT PROF EDUCAJACK AMOUNT: $279.00 CARMEL, INDIANA 46032 4025 CHESTNUT STREET PHILADELHIA PA 19104 CHECK NUMBER: 211615 CHECK DATE: 8/1412012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4357004 819388 279 . 00 EXTERNAL INSTRUCT FEE ALI CLE Invoice No. 819388 4025 Chestnut Street INVOICE Philadelphia, PA 19104-3099 Telephone: (800) 253-6397 Sold Douglas C. Haney Ship Douglas C. Haney To: City of Carmel, Indiana To: City of Carmel, Indiana 1 Civic Sq 1 Civic Sq Carmel, IN 46032-2584 Carmel, IN 46032-2584 USA --- USA Account No. Purchase Order No. I Order Date Order Number Terms Invoice Date 181343 I PO#26526 08/01/2012 664374 Net 30 da s 08/0112012 l Qty Item Code Description Unit Price Extended Shippedi_ — - - ----- - -- - — - - Price Condemnation 101 01/24/2013-01/26/2013 Miami Beach, FL 1 CU028/FULL Full Registration 804.00 804.00 1i Line Item Total I Freight Handling Other Tax Subtotal Amount Received Amount Due 804.00 --- - -_ ---- - - -- -,- - ——804.00 1 525.00 ---- - 279.00 - - C0 INDIANA RETAIL TAX EXEMPT PAGE ity ®f ,rme� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER n fA ,Ole �/ �.� FEDERAL 5X 010 0972 EXEMPT '� /_.5�� �J `ONE�C�I✓V'IIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION VENDOR ���+��� 1�ti�'� ! SHIP TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Ar �'" � o / 399. oa ; r °v /, X99•nd Send Invoice To: -— PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT so 30 �� �Q� y rr1' PAYMENT )p'4 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. 1,YG/1 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 •SHIP REPAID. THIS APPR PRIAT,ION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. L •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE .I AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 2 6 5 2 6 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO`_____ ALLOWED 20___ ^ |N THE SUM OF$ - ON ACCOUNT{}F APPROPRIATION FOR ' ^(! Board Members ' O# or | hereby certify that the attached invoice(s), or ' bill(s) is (are) true and correct and that the ' = materials or.services itemized thereon for which charge ie made were ordered and received except ure . ' � - ! / Cost dmmu"onn ledger classification if claim paid motor vehicle highway fund �