29277 Fifth Third (Hilton Americxas City4 INDIANA RETAIL TAX EXEMPT PAGE
( ��� 3 S CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
X11 FEDERAL EXCISE TAX EXEMPT 29277
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
12/14/12 N/A 00.35F02__ Hotel - NPRA Conference
Fifth Third (Hilton Americas) AO
P.O. (3 )c 715'23 _ _. -_, �.• . �.'
VENDOR t SHIP
C&flM j/, r 4527* TO DEC 17 2012
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 EA Hotel Accommodations - NPRA Conference (Michael $327.60 $327.60
Klitzing)
•
Send Invoice To:
•
$327.60
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUI■T AMOUNT
1125-1-01-4343000-Travel Fees & Expenses PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A FART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORE AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS IN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION SUFFICIENT 10 PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Michael Klitzing - DK „
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL _ - -_._� _ tZ11yl\L
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE 1 lLlfy/CL
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
29277 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY