26007 Keltner & Associates City INDIANA RETAIL TAX. EXEMPT
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i f C arme l CERTIFICATE NO. 003120155 002 0
w y PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26007
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON, INVOICES. A/P
CARMEL, INDIANA 46032 -2584 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
1/24/2012 1 3/23/2012
Keltner Associates SHIP. City of Carmel
VENDOR 520 West Carmel Drive To Nancy Heck, CommunityRRelations
Carmel, IN 46032 One Civic Square, 3rd Floor
Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT. PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
425 Lapel Pthas for the "175th Anniversary" for the City of Carmel
1 $3.86 ea. $1,640.50
Ailligite
Die Charge $240.00
4 0 7, x Artwork /Design $184.00
I. e High Resolution
4 v IikLogo for Stationery $75.00
y tit IIIN
Send Invoice To:
Community Relations Gift Fund #88554 TOTAL $2,139.50
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1203 Gift Fund #854 PAYMENT $2,139.50
A•P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �,,Grl NIA,t•/�^
SHIPPING LABELS. o FF
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99 ACTS 1945 TITLE L ,!1 X144444.
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 1
2 6007 CLERK- TREASURER
DOCUMENT CONTROL NO. OFFICE COPY