101242 SIMON AND COMPANY INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cit of Cariie1CO __.
FEDERALTEXCISE TAX EXEMPTPURCHASEORD
1ryORDER
ONE CIVIC SQUARE 35-6000972 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
1/7/2018 00351028 CONSULTING SERVICES
SIMON AND COMPANY INC Mayor's Office
VENDOR 1660 L STREET NW,SUITE 501 SHIP 1 Civic.Square
TO Carmel, IN 46032-
WASHINGTON, DC 20036-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22351
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1160 Fund: 101 General Fund
Account::43-404.00
1 Each PROFESSIONAL SERVICES $11,000.00 $11,000.00
Sub Total $11,000.00
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Send Invoice To:
Mayor's Office
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $11,000.00
SHIPPING INSTRUCTIONS 'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. 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
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL r
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Sharon Kibbe James Crider \\O\
TITLE Executive Office Manager Administration
CONTROL NO. 101242 CLERK-TREASURER