101632 PAGE, WOFBERG, WIRTH LLC INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Iairinnie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101632
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
RM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
5/1/2018 00352879 Registration Fees
PAGE,WOLFBERG,WIRTH LLC Fire Department
VENDOR 5010 E TRINDLE ROAD SUITE 202 SHIP 2 Civic Square
TO Carmel, IN 46032-
MECHANICSBURG, PA 17050-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
25516
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-570.04
1 Each ABC 360 Registration Heather Davis $565.00 $565.00
1 Each ABC 360 Registration-Lynette Wang $565.00 $565.00
1 Each ABC 360 Registration-Michelle Harrington $585.00 $585.00
Sub Total $1,715.00
s
Send Invoice To: ,
Fire Department
2 Civic Square
Carmel, IN 46032- -, x
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT [ PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $1,715.00
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.
'URCHASE 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
Denise Snyder -�
TITLE Budget&Accreditation.Manager /
CONTROL NO. 1 01632 CLERK-TREASURER