26746 C. L. Coonrod & Company INDIANA RETAIL TAX EXEMPT PAGE
CltY Of Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26746
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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1/4/2013
C. L. Coonrod & Company City of Carmel
VENDOR 3850 Priority Way South Drive SHIP Attn: Mayo±' s Office
Suite #225 TO One Civic Square
Indianapolis, IN 46240 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Professional Services for 2013 $ 125 ,000 .00
Per' Conttact 0415 .98 .05 dated 4/15/1998
and Contract Rider 0606 .01101 dated 6/6/2001
A/C 4340303 Other Accounting ,FFees•... - �� f`
i%=t (c) 'N
' •
•
.•
:° e
)111k ,--,.... sci.,„ 11 I .1 4
0
°
Send Invoice To: `
1160/A-C ®34030'3 TOTAL $ 125 ,000 .00
0.
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• NP 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 AN UNOBLIGATED BALANCE IN
THIS APPROP•I•TION SLI FICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID. .4 if
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. I / ./
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ` -
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE / V/
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 0 7'4 0 COFFICE COPY