102438 FIFTH THIRD BANK City
INDIANA RETAIL TAX EXEMPT Page 1 of 1
ofCERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102438
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
12/19/2018 372357 CREDIT CARD PURCHASES
FIFTH THIRD BANK-PCARD ONLY Community Relations
VENDOR NO ADDRESS-ACH SHIP 1 Civic Square
TO Carmel, IN '46032;
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
32327
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1203 Fund: 101 General Fund
Account: 43-593.00
1 Each CREDIT CARD PURCHASES MADE IN 2018 $1,657.00 $1,657.00
Sub Total $1,657.00
Send Invoice To:
Community Relations
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $1,657.00
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.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL � , Q
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 / I,k,u [3i k
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY \41)\
Nancy HeckV
TITLE Director
CONTROL NO. 102438 CLERK-TREASURER