102396 AMERICAN PLANNING ASSOCIATION INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of II1anrriiie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102396
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/14/2018 00352220
AMERICAN PLANNING ASSOCIATION INC Dept of Community Service
VENDOR LOCK BOX 4291 SHIP 1 Civic Square
TO Carmel, IN46032-
CAROL STREAM, IL 60197--4291
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
32210
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 43-430.03
1 Each Staff Expenses for Conferences $5,000.00 $5,000.00
Sub Total $5,000.00
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Send Invoice To:
Dept of Community Service
1 Civic Square ,
Carmel, IN 46032- 1 ,-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $5,000.00
*NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
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 /�j
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 1 /"� ��. \6'' 'AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Mike Hollibaugh \
TITLE Director
CONTROL NO. 102396 CLERK-TREASURER