102451 ADP INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102451
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
12/2112018 361183
ADP INC Clerk-Treasurer's Office
1 VENDOR PO BOX 842875 SHIP 1 Civic Square
TO Carmel, IN 46032-
BOSTON, MA 02284--2875
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
32368
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1701 Fund: 101 General Fund
I Account: 43-403.03
1 Each 2019 ALL CITY PAYROLL PROCESSING $32,000.00 $32,000.00
Sub Total $32,000.00
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Send Invoice To:
Clerk-Treasurer's Office
1 Civic Square
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Carmel, IN 46032- N A ,1
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $32,000.00
'A/P 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 f
'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 19459Cte-Zig,-1=-
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jacob Quinn
TITLE maty ty Clerk of City B sin-.s
CONTROL NO. 102451 CLERK-TREASURER V%JL .L—' 4 (' // / // I ,Ad ./..