102244 HYATT REGENCY INDIANA RETAIL TAX EXEMPT Page 1 of 1
ciCity of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102244
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
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/6/2018 00351693 Lodging for Excellence Conference&Hearing
HYATT REGENCY Fire Department
VENDOR 300 REUNION BLVD SHIP 2 Civic Square
TO Carmel, IN 46032-
DALLAS,TX 75207-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31721
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-430.02
6 Each Hotel for CPSE $846.08 $5,076.48
Sub Total $5,076.48
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Send Invoice To: _' ,
Fire Department .,_
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $5,076.48
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 1-e_4.-49'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 y ,)
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder James Crider
TITLE Budget&Accreditation Manager Administration Q
CONTROL NO. 102244 CLERK-TREASURER -` *