29275 Fifth Third (United Airlines) 0 ( INDIANA RETAIL TAX EXEMPT PAGE
0: Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
``�� -� FEDERAL EXCISE TAX EXEMPT 29275
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL,INDIANA 46032-2564 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 0036 Sa Airline Travel - NPRA Conference
Fifth Third (United Airlines).x � AO
VENDOR O. -5 c 140" 2."j SHIP
CJ v e--in a /. OH 4&274- TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE( DESCRIPTION UNIT PRICE EXTENSION
1 EA Round Trip Airfare - 2013 NPRA Conference - Michael $770.10 $770.10
Klitzing
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Send Invoice To:
$770.10
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 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 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. ORDERED BY Michael Klitzing - DK � ,�-� I2IyI,L
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE ` �/(L
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
29275 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY