29283 Debra Grisham I o Carme CERTTIFICATE NO,0 3120X 5M 002 0 PAGE
�i PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 29283
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
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
12/17/12 Contract //5/O0 December Legal Fees
Debra Grisham AO
922 Ears/ &r gl�vnd I ss SHIP DEC ry n
VENDOR "'/ TO G 1, 1 202
C a rvn-e/, `��(�/ 460032_
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE] DESCRIPTION UNIT PRICE EXTENSION
1 EA December Legal Fees $8,750.00 $8,750.00
t
Send Invoice To
$8,750.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1125-1-01-4340000-Legal Fees 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 UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT 10 PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. Michael Klitzing - DK �
ORDERED BY `-, —I I. Z_
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL [�lw— 1�jJ-1 .>::� L
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE //L:/ 17-07 _J 2-
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. /
29283 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY