26223 Jake Laird Golf OutingCi
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
28223
THIS NUMBER MUST APPEAR ON INVOICES. AP
VOUCHER, DELIVERY MEMO. PACKING SLIPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
8/212012
Jake Laird Golf Outing
VENDOR
20491 Country Pine Court
Noblesville, IN 48082
SHIP
TO
Carmel Police Department
3 Civic Square
Cannel, IN 48032
(317) 5712559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 00 52.00
1 Each golf outing
Send Invoice To
Cannel Police Department
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 48032-
DEPARTMENT
Carmel Police Dept.
PLEASE INVOICE IN DUPLICATE
ACCOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.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 NO. 26223
3400.00
Sub Total:
$400.00
$400.00
PROJECT
1 PROJECT ACCOUNT
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
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
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THEIR IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATIO 7 • - NTIO PAVFOH THE ABOVE ORDER.
•
AMOUNT
3400.00
of of Polies