102339 KRIEG DEVAULT INDIANA RETAIL TAX EXEMPTPage 1 of 1
Cityof Iar]rI1e1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102339
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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 \
12/12/2018 00353406
KRIEG DEVAULT Department of Law
VENDOR ONE INDIANA SQUARE,STE 2800 SHIP 1 Civic Square
TO Carmel, IN: 46032-
INDIANAPOLIS, IN 46204- Douglas C.Haney (347)571-2472
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
32086
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1180 Fund: 101 General Fund
Account: 43-400.00
1 Each Legal Fees $31,382.19 $31,382.19
Sub Total $31,382.19
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Send Invoice To:
Department of Law d'''
Douglas C. Haney .. ry
1 Civic Square .,, , 11 , g. , ., , ,, :: „..,..„. ,''''
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Carmel, IN 46032-
(317)
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571-2472 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $31,382.19
SHIPPING INSTRUCTIONS 'AIPARTP VOUCHEROFTHEVOCANNOTUCHER BE
AND APPROVEDEVERY FORINVOICE PAYMENTANDVOUUNLESS
CHERHAS THETHE P.O. NUMBER IS MADESWORN A
PROPER
*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
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 l� `—�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Douglas Haney
TITLE Corporation Counsel
CONTROL NO. 102339 CLERK-TREASURER