101289 INDIANA GEOGRAPHIC INFORMATION I
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CERTIFICATE N0.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101289
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
1/16/2018 357425 2018 Membership renewal and Conference fees
INDIANA GEOGRAPHIC INFORMATION CNCL ICS
VENDOR 777 INDIANA AVE SHIP 31 1st Avenue N.W.
SUITE 210:. TO' Carmel, IN 46032
INDIANAPOLIS, IN 46202- Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22624
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 43-553.00
1 Each Membership fees $450.00 $450.00
Sub Total $450.00
Account:_43-570.04
2 Each Conference fees
$295.00
= Sub Total $$590.00
590.00
Send Invoice To:. A 4
ICS
Timothy Renick
31 1st Avenue N.W.
Carmel, IN 46032-
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $1,040.00
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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �%`�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ��
Timothy Renick
TITLE Director `�
CONTROL NO. 101 289 CLERK-TREASURER