50834 NRPA INDIANA RETAIL TAX EXEMPT PAGE 1
Cityo�. _ sane CERTIFICATE N0.003120i55 002 0_ __.._...._...�... .._,__.._,..,m..•
FEDERALPURCHASE ORDER NUMBER
EXCISE TAX EXEMPT 50834
a
3540000972 t
ONE CNIC.SQUARE .r.-.... ..1 _ _ y
CARM€L,INDIANA.45032-2:54 THIS NUMBER MUST APPEAR ON INVOICES,A.9
VOUCHER,DELIVERY MEMO,PACKING SLIPS, 1
3
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE 1 DATE REQUIRED REQUISITION NO. VENDOR NO. I.1. DESCRIPTION
2/1/2018 02/04/18 15200 00353324 2018 Annual CAPRA Fee
I I
Administration Office
1411 E. 116th Street
VENDOR NRPA SHIP Carmel, IN 46032
PO BOX 5007 To
MERRIFIELD, VA 22116-5007
CONFIRMATION BLANKET ! CONTRACT .......,....._.__..._...�.���.N._�.E________. ....
PAYMENT TERMS � � "`""'"
FREIGHT
I 3
QUANTITY I.UNIT OF MEASURE 1 DESCRIPTION i UNIT PRICE EXTENSION
1.000 each CAPRA 2018 Annual Fee $360.0000 $360.00
GLAccount#1125101-4355300
Send Invoice To:
$360.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT .MA ,PROJECT ACCOUNT ,„.._....,.y....�.. AMOUNT
PAYMENT
• AIP 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 Dawn Koepper R
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 - -- -
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE -
rd
CLERK-TREASURER
DOCUMENT CONTROL NO. 50834 VENDOR COPY ,