24563 Guest Services City of Carmel INDIANA RETAIL TAX EXEMPT
PAGE
1JLr CERTIFICATE NO.003120155 002 0 N.
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
24563
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
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
2l712014 — S.■..,.._. �Q....,�
Guest Services Carmel Fire Department
VENDOR _ SHIP 2 Carmel Civic Square
16825 South Seton Avenue TO Cannel, IN 46032
Emmitsburg, MD 21727 (317)571-2622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UN OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-430.02 .
1 Each'Meal Ticket -��°--v`---..`�y $167.32 $167.32
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Sub Total: $187.32
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Send Invoice To: 4 . 1
Cannel Fire Department
2 Carmel Civic Square ,
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Fire Department PAYMENT $167.32 •
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. �\\
•G.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY(�'-sJ �_ ��sS •q ------
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL �l l
SHIPPING LABELS. .\-:--s.----, /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ` y-.�--Q`c\ Cs✓
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. v \\
24563 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY