101280 JOEL M. THACKER INDIANA RETAIL TAX EXEMPT Page 1 of 1
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"}�t 37 o f I1a]rI1TTIe1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 01280
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
1/10/2018 - 372192 - Instructor Fee for AFG Grant Class
JOEL M.THACKER Fire Department
VENDOR 5290 BRECCIA DRIVE SHIP 2 Civic Square
TO:.. Carmel, IN 46032
PLAINFIELD, IN 46168-
PURCHASE ID BLANKET CONTRACT ., PAYMENT TERMS FREIGHT,
22551
QUANTITY :: : UNIT OF MEASURE DESCRIPTION. UNIT PRICE EXTENSION •
•
Department 1120 Fund 101 General Fund
Account:-43-570.03
1 Each Fire Officer IV _ $2,250.00 $2,250.00
. . ... . Sub Total $2,250.00.
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11
Invoice To: {, : F ::'::::=Vi-
Send . "
Fire Department : /
2.Civic Square ` �
Carmel, IN 46032- 0 °
PLEASE INVOICE IN DUPLICATE
DEPARTMENT V . ACCOUNT N . : PROJECT u PROJECT ACCOUNT AMOUNT. . - "..
PAYMENT .
$2,250 00
SHIPPING INSTRUCTIONS •
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
'SHIP PREPAID. AFFIDAVITATTACHED.;I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED 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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF'ANDSUPPLEMENT THERETO. ORDERED BY _1"r`:Y .
Denise Snyder \
TITLE . Budget&.Accreditation Manager . . .
CONTROL NO. 101280 CLERK-TREASURER