101297 PURDUE EXTENDED CAMPUS 0 INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cit of CarmelPURCHASE -. _....
CERTIFICATE
EXCISE TAX EXEMPT 0 1 ORD 1 ��UMBER
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
1/17/2018 369044 Payable to'Purdue University'
PURDUE EXTENDED CAMPUS City Engineering's Office
VENDOR 128 MEMORIAL MALL,STEWART ROOM 110 SHIP 1 Civic Square
TO Carmel, IN 46032-
W LAFAYETTE, IN 47907--2034 Kate Lustig
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22699
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Fund: 2200 Motor Vehicle Highway
Account: 43-570.04
1 Each LTAP Drainage Conference Registration $615.00 $615.00
Sub Total $615.00
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Send Invoice To: ;
City Engineering's Office s
Kate Lustig
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $615.00
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. 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
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'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194Er
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jeremy Kashman
TITLE Director
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CONTROL NO. 1 01297 CLERK-TREASURER