52176 PERFORMANCE 3, LLC • INDIANA RETAIL TAX EXEMPT PAGE 1
C
l+LCERTIFICATE NO.003120155 002 0.ry rme PURCHASE.ORDER NUMBER
v FEDERAL EXCISE TAX EXEMPT 52176
35-60000972
• I tlE'l'CIVIC'SQUARE
-
• `'.'-M_L.!IICLAIL =n22-2cS. THIS NUMBER MUST APPEAR ONINVOICES,AIP
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
•
11/28/2018 12/01/18 18234 L a, All Staff Meeting Presentation-November 2018
114
Performance 3, LLC/Thresette K. Briggs MCC-East
7399 N. Shadeland Avenue#300 1235 Central Park Drive East
VENDOR Indianapolis, IN 46250 TOHIP Carmel, IN 46032
CONFIRMATION BLANKET . CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each November All Staff Meeting Presenter-75 minutes on $ 1,500.0000 $ 1,500.00
leadership
GLAccount# 1125101-4357004
•
Send Invoice To:
$ 1,500.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I 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 Lindsay Labas
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE - ..
•
CLERK-TREASURER • \\.
DOCUMENT CONTROL NO. 52176 VENDOR COPY