52704 INDIANAPOLIS MSTAR , ,
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INDIANA RETAIL TAX EXEMPT PAGE 1
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CERTIFICATE NO.003120155 002 0
f \=4 i PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
52704
35-60000972
ONE CIVIC SQUARE
CARMEL,!UDLAN.A 4332-2E84 THIS NUMBER MUST APPEAR ON INVOICES,MP
VOUCHER,DELIVERY MEMO,PACKING SUPS,
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
4/19/2019 04/22/19 19483 362776 Bid Publication for Central Park Trailhead West Receiving
Project
Indianapolis Star Administration Office
P.O. Box 677553 1411 E. 116th Street
VENDOR Dallas,TX 75267-7553 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Bid Notice Posting 4/18/19&4/25/19-Central Park Trailhead $418.1600 $418.16
West Receiving
GLAccount#1125101-4345500
Send Invoice To:
$418.16
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• AIP 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED. /�
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper (J�
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE VVV
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CLERK-TREASURER
DOCUMENT CONTROL NO. 52704 VENDOR COPY