26745 Simon & Company7, Inc. INDIANA RETAIL TAX EXEMPT PAGE
Clity ®f Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26745
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
Simon & Company, Inc.. City of Carmel
VENDOR 1660 L Street, N.W. SHIP Attn: Mayor' s Office
Suite #501 . TO One Civic Square
Washington, D.C. 20036 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Professional Serviees for 3013 $11 ,000 .00
Per Contract #0306 . 02 .09 dated 3/6/2002
A/C 4340400 Consulting Fees
I A110,
#a.. . �
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-:, °° '
14 1., t!g4 'g• liI ) i II' .4 7,
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' ':1:** N 1,.;,, ii, , ,,.. ,J. 0 1'
Send Invoice To. ` '
1160/A-C 4340400 TOTAL $11 ,000 .00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
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 CERT FYI THAT THERE IS AN UNOBLIGATED BALANCE INE
THIS APPROP�A IO UFFICIENT TO P X FOR THE ABOVE'ORDER.
•SHIP REPAID
- [// /per/
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /l
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY !� "'1�
SHIPPING LABELS. A; 1-
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 26745 OFFICE COPY