29275 Fif Third (United Airlines) _ fINDIANA RETAIL TAX EXEMPT PAGE
i o CERTIFICATE NO.003120155 002 0 pURCHASE ORDER NUMBER
��// `��1' FEDERAL EXCISE TAX EXEMPT 29275
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
12/14/12 N/A (3035 9, SQ Airline Travel - NPRA Conference
Fifth Third (United Airlines) AO
VENDOR o. -sox 1 40523 �j SHIP
C• c-I n Ctt;, QTT / G274- TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE l EXTENSION
1 EA Round Trip Airfare - 2013 NPRA Conference - Michael $770.10 $770.10
Klitzing
I
I
Send Invoice To:
$770.10
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT
1125-1-01-4343000-Travel Fees & Expenses 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.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS/N UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT 10 PAY FOR THE ABOVE ORDER.
•SHIP REPAID. /
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. Michael Klitzing - DK4 q
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY Lam.„-L ��"\��'..� 12_ 1y�1�--
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
29275 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY