50829 POTAWATOMI INN 1 0 G
INDIANA RETAIL TAX EXEMPT I PA E 1
ity
.Cannel
I CERTIFICATE N0.003 20155 0 2 0 8 I
I PURCHASE ORDER NUMBER I
I FEDERAL EXCISE TAX EXEMPT 50829 1
35-60000972 p
ONE CMC:SQUARE f _._ .__ )
CARMEL,.IFJIAANA 46032:2 S4 THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER,DELIVERY MEMO,PACKING SUPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 �••= �•a — -
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1/25/2018 01/23/18 15078 1 00351024 Hotel expenses for GLPTI Conference 2018
Potawatomi Inn Parks Maintenance
6 Lane 100 A Lake James 1427 E. 116th Street ATTN:Courtney
VENDOR Angola,IN 46703 SHIP
HP Carmel, IN 46032
TO
�.,.,...,...a_.�,.,e..T... PAYMENN�.. T TERMS.... ..._.�__- w.. w...._..._._ ..., ..,M....,..,,......__,,...,.........,,.W FREIGHT ....e. ___W...._.....
CONFIRMATION BLANKET CONTRACT €
QUANTITY I UNIT OF MEASURE]' DESCRIPTION I UNIT PRICE EXTENSION
1.000 each Room and Meal Accomodations for 2/26/18-3/31/18 $422.8000 $422.80
GLAccount#1125401-4231300
Send Invoice To:
$422.80
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
▪ C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER *
DOCUMENT CONTROL NO. 50829
VENDOR COPY