102738 INDIANA GEOGRAPHIC INFORMATION CNCL e1of1
INDIANA RETAIL TAX EXEMPT Pa 9
11 Cis ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102738
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
• 7 Membership and Conference
3/19/2019 357425
INDIANA GEOGRAPHIC INFORMATION CNCL ICS
VENDOR 777 INDIANA AVE SHIP 31 1st Avenue N.W.
SUITE 210 TO Carmel, IN 46032-
INDIANAPOLIS, IN 46202- Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
34758
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 43-553.00
1 Each Membership fees $450.00 $450.00
Sub Total $450.00
Account 43-570.04
1 Each Conference fees $590.00 $590.00
Sub Total $590.00
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Send Invoice To:
ICS
Timothy Renick
31 1st Avenue N.W. `°4 4
Carmel, IN 46032- '`
(317) 571-2576 PLEASE INVOICE IN DUPLICATE
I _ DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $1,040.00
SHIPPING INSTRUCTIONS *
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OFU 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
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick
TITLE Director
CONTROL NO. 102738 CLERK-TREASURER