HomeMy WebLinkAbout36473 Debra Grisham INDIANA RETAIL TAX EXEMPT PAGE 1
City of •Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 36473
35-60000972
CUE Cf./IC SpV‘ =
C.Slit=L.'d E:1=iV. = :.'2-2`.[: THIS NUMBER MUST APPEAR ON INVOICES,NP
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
12/17/2013 12/21/13 153 115100 Legal services
Grisham Debra Administration Office
922 East Greyhound Pass 1411 E. 116th Street
VENDOR Carmel, IN 46032 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
$ 1.00 each Legal services 29,000.000 $29,000.00
GLAccount# 1125101-4340000
Send Invoice To:
$29,000.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT
I . ' i • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
I ; PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS - I AFFIDAVIT ATTACHED.
U . 1 7 L I . I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. 1 SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED. I I
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SNIPPING LABELS. ORDERED BY Michael Klitzing il4 'vkiL �,�. 2 I l "I I \.3• 1
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36473 VENDOR COPY