31594 Simon & Company C O O C2It�e� INDIANA RETAIL TAX EXEMPT
15500 PAGE
Jnl Of I(\�/ CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31594
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A.P
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
•
1/2/2014
Simon and Company, Inc. City of Carmel
VENDOR 1660 L Street, N.W. SHIP 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
For Professional Services for 2014 $11 ,0.00 .00
in accordance with Contract #0306 . 02 : 09 dated 3/6/2002
•
OS O�� ®7• coq
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Send Invoice To: JJ, ����1-
1160/4340400 )
(rl) I $11,000 .00
v 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 CERTI THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPR-1 •I EBICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. v _
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. I _ . i '
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
1
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
3 1594
CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY