37914 Debra GrishamCity 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 CARMEI- - 1997
PAGE 1
PURCHASE ORDER NUMBER
37914
Ills NUMBER MUSI APPEAR ON INVOICES. NP
VOUCHER, DELIVERY MEMO. PACKING SLIPS.
SHIPPING I ABEI.S AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
12/18/2014
12/22/14
3780
Legal Services
Grisham Debra
922 East Greyhound Pass
VENDOR Carmel, IN 46032
SHIP
TO
Administration Office
1411 E. 116th Street
Carmel, IN 46032
CONI'IRMAI ION
BLANKEI
CON I RACE
PAYMENI I IRMS
FREIGHI
QUANTITY
UNIT OF MEASURE I DESCRIPTION I UNIT PRICE L EXTENSION
1.000 each December Legal Services
Send Invoice To:
GLAccountl/ 1125101- 4340000
PLEASE INVOICE IN DUPLICATE
$ 1,800.0000 $ 1,800.00
$ 1,800.00
DEPARTMENT ACCOUNT
PIIOJITC1
PROJECT ACCOUNT AMOUNT
SHIPPING INSTRUCTIONS
SI TIP REPAID.
COD SHIPMENTS CANNOT BE ACCEP I ED.
PURCHASE. ORDER NUMBER MUS APITENT ON Al I. SHIPPING I AHEI.S
THIS ORDER ISSUED IN COMMTANCE WI I II CI TAP) 11R 99. AC TS 1945
AND AC I S AME NDA I DRY T NEREOP AND SUITES EMEN I I THERE ID.
DOCUMENT CONTROL NO. 37914
PAYMENT
• AM 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 ATI ACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
SUFFICIENT-10 PAY FOR THE ABOVE ORDER.
ORDERED BY Dawn Koepper
TITLE
CLERK - TREASURER
VENDOR COP'S