37903 Fifth Third BankCity of Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PAGE 1
PURCHASE ORDER NUMBER
39;5
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER. DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE_
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
12(1512014
12120114
3768
Illinois IPRA Renewal - Chief Operating Officer
Fifth Third Bank
P.O. Box 740523
VENDOR Cincinnati, OH 45274 -0523
SHIP
TO
Administration Office
1411 E. 116th Street
Carmel, IN 46032
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
1.000
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE EXTENSION
Send Invoice To:
each Illilinois IPRA Membership
GLAccount# 1125101- 4355300
PLEASE INVOICE IN DUPLICATE
$ 244.0000 $ 244.00
$ 244.00
DEPART MENT
ACCOUNT j PROJECT PROJECT ACCOUNT l AMOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LAHEI S.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY 1 HEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 31-7403
PAYMENT
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 HAS THE PROPER SWORN
AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
SUFFICIENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY Dawn Koeppe
TITLE
CLERK - TREASURER
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