29277 Fifth Third (Hilton Americas) CityINDIANA RETAIL TAX EXEMPT PAGE
(��i m CERTFICATE NO003120155 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 QQ3•rjz?'32 Hotel - NPRA Conference
Fifth Third (Hilton Americas) AO
B0)c 7` 523� SHIP -j 1
VENDOR
271/. TO DEC 1 7 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)
f
Send Invoice To:
$327.60
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1125-1-01-4343000-Travel Fees & Expenses PAYMENT
• A/P VOUCHER CANNOT BE APPROVD FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORD AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS IN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT ID PAY FOR THE ABOVE ORDER.
• SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. Michael Klitzing - DK•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY I L 1 I`�I\L
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99•ACTS 1945 TITLE W.',7%
AND ACTS ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
29277 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY