West GroupDEPARTMENT OF LAW
Appr0p~iation NO. 440-69000
Law Dept. P. O. No. 10679 - $4~3.75' ~"-~
Deferral Fund P.O. No. 10678 - $453.75
Contract Not To Exceed $907.50
APPROVED, AS 1'0
FORM
~.~r~ 610 O~n Dave, P.O. Box ~833, St. Paul, ~ 551~-1803 Tch 651/687-8~0
Ac~unt ~ 1000166048 ~ Oae ~ay 2g ~002
Na~/Su~eti~et C[~ OF CARMEL Cl~ A~ORNE~S
A~ess 1 CIVIC SQUARE Tel~ne=~17) 571-2406
CARMEL Sa= IN Zip 460~
O~er Co~ct Karen
~ill~ Ad~s (if different) - CiW Sram Zip
Subleting R~ N~ ~ Nt~m~t ~eat~er 000~603 Inside
22060038 I ~Vesrs Indiana Digest 2d (1817 to Date) 1,050.00
-- PRICE QUOTED :$907.50 I ~e,~ 13.57% -142.5u
,2002.
CITY OF CARMEL, INDIANA
By and through its Board of Public Works and Safety
BY: t~ /'
JfiSnes Bra/~nard, P.~residing Officer
/Date: ~: '~ .R'/~ ~
Date: ~ ~J~ ~
, Member
Date:
ATTEST:
Diana Cordray, Clerk-Treasurer, IAMC
Date: 7 '~, I'"O 2-..~
City of Carmel
CARMEL, INDIANA 46032
:ORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
DATE REQUIRED I REQUISITION NO. VENDOR NO.
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-6000972
:)URCHASE ORDER NUMBER
THIS NUMBER MUST APP~R ON INVOICES, A~
VOUCHER, DELIVERY MEMO, PACKING SLIPS
SHIPPING LABELS AND ANY CORRESPONDENCE
DESCRIPTION
SHIPPING INSTRUCTIONS
· SHIP PREPAID,
· CO.D. SHIPMENTS CANNOT BE ACCEPTED.
· PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
· THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL N ± 3 c 7 S
PLEASE INVOICE IN DUPLICATE
PAYMENT /.//~'~,.
· Np VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS 3~'IE P'O'
NUMBER IS MADE A PAR~T OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT A3W.~'~H ED.
· i HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN
THIS APPROPRIATION SUF~ClENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY
TITLE
CLERK-TREASURER
City ot Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032
INDIANA RETAIL TAX eXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-6000972
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, M
VOUCHER, DELIVERY MEMO, PACKING SLIP!
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL ' 1997
PURCHASE~o~ORDER DATE DATE REQUIRED
REQUISITION NO. VENDOR NO. DESCRIPTION
SHIP
TO
DESCRIPTION
FREIGHT
UNIT PRICE [ EXTENSION
PLEASE INVOICE IN DUPLICATE
OEPARTMENT [ ACCOUNT I PROJECT
SHIPPING INSTRUCTIONS
· SHIP PREPAID.
· C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
· PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
· THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER gg. ACTS lg45
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. ~ 0 $ 7 ~
AMOUNT
I pRO~ECT ACCOUNT [ ~/.5'3, ?3-
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P,O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
ORDERED BY
TITLE
CLERK-TREASURER
VENDOR COPY