31721 Miller Transportation INDIANA RETAIL TAX EXEMPT PAGE
City of Cilrthel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31721
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,Al
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIP;
SHIPPING LABELS AND ANY CORRESPONDENCE
-1 APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
RCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
919/2014
Miller Transportation DOCS Department
VENDOR SHIP 1 Civic Square
4045 Park 65 Drive TO Carmel, IN 46032
Indianapolis, IN 46254 (317) 571-2418
ONFIHMATON BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-509.00
1 Each Bus services $2,200.00 $2,200.00
Sub Total: $2,200.00
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Send Invoice To: `' `- ' -I i 1 ,-
DOCS Department
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1192 DOCS PAYMENT $2,200.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER H. THE PROPER SWORN• 'IAVITATTACHED,
SHIPPING INSTRUCTIONS • I HEREBY IFY THAT TH RE IS A OBLIGATED BALANCE IN
P REPAID.
THIS AP'-••-IATIONS'UF IENTTo 7•Y FOR THE ABOV ORDER.
• C.O.D.SHIPMENTS CANNOT BE ACCEPTED Ilk,A
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY / �+'
SHIPPING LABELS. 'Dicecto /�/
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE `-
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER • '� //"
DOCUMENT CONTROL NO. 317 21 VENDOR COPY
'"Acceptanxce', Miller Transportation Inc.
Client ID 5799 Charter ID 30037
Client Adrienne Keeling Movement ID 37124
Company City of Carmel Status Provisional
Client Ref 1 Passengers
Client Ref 2 Distance 679.8
First Pick-up Carmel, IN Destination Cleveland, OH
Pick-up Date Fri 10/10/2014 Time 07:00 Arrival Date Fri 10/10/2014 Time 12:35
Single Journey No Leave Date Sat 10/11/2014 Time 13:25
Vehicle To Stay Yes Back Date Sat 10/11/2014 Time 19:00
First Pick-up Instructions Destination Instructions
City Hall SCHEDULE TBD
Carmel, IN
Seats Vehicle Description Vehicle No Price Tax % Tax Total
34 VIP/Team 1 $2,100.00 0 $0.00 $2,100.00
Quantity Description Unit Price Price Tax% Tax Total
1 MC Driver's Room $100.00 $100.00 0 $0.00 $100.00
Movement Totals $2,200.00 $0.00 $2,200.00
Driver Description Vehicle No Driver Description Vehicle No
Motorcoach Charter Driver 1
I have checked all the details above and agree that they are correct. I confirm that I would like to make a firm booking and I
accept the above price and the payment terms detailed in the attached letter.
Signature V idifyLprint Name 24&4- Z -F1tm, ate G,�_ 9��
Coach Manager inted:9/4/2014 9:51:24 AM !!