50923 INDIANAPOLIS STAR s! c ) i INDIANA RETAIL TAX EXEMPT I PAGE 1
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CERTIFICATE N0EXEM.003120155 002 0 _l
I PURCHASE ORDER NUMBER
, I
1 FEDERAL EXCISE TAX E PT 50923
35.60000972
ONE CMC S.flUARE __._.... _.._._.__-_ _. _ _ _
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CARMEL,INDIANA 46032-2=84 1 THIS NUMBER MUST APPEAR ON INVOICES,AIP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
I FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997g 1
PURCHASE ORDER DATE DATE REQUIRED I REQUISITION NO. VENDOR NO. DESCRIPTION
2/16/2018 02/19/18 `15358 362776 Bid Publication for West Park-The Groves Project
Indianapolis Star Administration Office
P.O.Box 677553 1411 E. 116th Street
VENDOR Dallas,TX 75267-7553 SHITO
Carmel, IN 46032
CONFIRMATION- BLANKET CONTRACT i - PAYMENT TERMS I �. mm FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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1.000 each Bid Publication for West Park-The Groves Project $412.3800 $412.38
GLAccount#1060000-5023990
•
Send Invoice To:
$412.38
PLEASE INVOICE IN DUPLICATE
DEPARTMENT-rµ ACCOUNT - l PROJECT PROJECT ACCOUNT I AMOUNT
PAYM1 1I
• MP 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 UNOBLJGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
COD SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEARONALL SHIPPING LABELS. ORDERED BY Paula Schlemmer _ ,}
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURERjA) ::Kd
DOCUMENT CONTROL NO. 50923 VENDOR COPY