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103199 4IMPRINT INDIANA RETAIL TAX EXEMPT Page 1 of 1 City of IIairrinie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 103199 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 10/30/2019 368612 4IMPRINT Human Resources VENDOR 25303 NETWORK PLACE SHIP 1 Civic Square TO Carmel, IN 46032- CHICAGO, IL•60673--1253 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 41036 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1201 Fund: 101 General Fund Account: 43-509.00 1 Each Items for Employee Appreciation Breakfast $3,942.47 $3,942.47 Sub Total $3,942.47 9.dri 0 / �yyi. V k r\✓'K�'3 � , l � i Send Invoice To: ��.. .._.... " ak.e.....-...b.... tea..w...nr-�•¢' f Human Resources 1 Y 3 1 Civic Square . Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT PAYMENT $3,942.47 SHIPPING INSTRUCTIONS 'A!P 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 *THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY James Crider TITLE Administration CONTROL NO. 103199 CLERK-TREASURER