HomeMy WebLinkAbout308948 03/07/17 CITY OF CARMEL, INDIANA VENDOR: 367732
ONE CIVIC SQUARE CHALLENGE COINS PLUS CHECK AMOUNT: $*******625.50*
5840 RED BUG LAKE ROAD,SUITE 35 CHECK NUMBER: 308948
CARMEL, INDIANA 46032 WINTER SPRINGS FL 32708 CHECK DATE: 03/07/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 100176 237755 625.50 MEDICAL FUND
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201/2017 Challenge Cans Plus
Challenge Coins Plus
5840 Red Bug Lake Road, Suite 35
Winter Springs, FL 32708 -
1 800-252-0904
Date: 2/20/2017
Invoice Number: 237755
Your new invoice from Challenge Coins Plus
Bill To: Ship To:
City Of Carmel City Of Carmel
PO# 100176 -Jim Spelbring PO# 100176 -Jim Spelbring
One Civic Square One Civic Square
Carmel, IN 46032-2584 Carmel, IN 46032-2584
USA USA
(317) 571-2465 (317) 571-2465
PO Number Terms Ship Date Via
100176 Due Upon Receipt 3/6/2017 UPS
Qty. Description Unit Price Amount
130 Proof 2 $3.85 $500.50
2 Custom Mold Fee $62.50 $125.00
1 UPS International Shipping $0.00 $0.00
Total: $625.50
Payments/Credits: $0.00
Balance Due: $625.50
Submitted To
MAR.. 0 8 2017
Clerk TreasslrInr
*The charges will appear on your credit card statement as payment to LAPEL PINS PLUS LLC*
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INDIANA RETAIL TAX EXEMPT Page 1 of 1
C
Cit ®f Carmel F- - - -
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
ONE CIVIC SQUARE _— 35-6000972_– THIS NUMBER MUST APPEAR ON INVOICES,AF
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CIT`r"OF CARMEL-1997
i
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO DESCRIPTION 1
2/16/2017 367732
CHALLENGE COINS PLUS Human Resources
VENDOR 5840 RED BUG LAKE ROAD,SUITE 35 SNIP 1 Civic Square
TO Carmel,IN 46032-
WINTER SPRINGS,FL 32708-
PURCHASE ID BLANKET CONTRACT PAYMENTTERMS FREIGHT
12848
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE j EXTENSION
Opparfinent 301 Fund. 301 Medical Fund
Account: 50-239.90
1 Each Medical Fund $625.50 $625.50
Sub Total $625.50
J,
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Send Invoice To:
Human Resources
1 Civic Square r,
Carmel,IN 46032-
PLEASE INVOICE ICE IN DUPLICATE _
DEPARTMENT ACCOUNT – _PROJECT —� PROJECT ACCOUNT AMOUNT
PAYMENT $625.50
SHIPPING INSTRUCTIONS *A/P VOUCHER CANNOT RE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OF THE VOUCHER.AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
*SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194
-- –
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY -
Barbara Lamb
TITLE Director
CONTROL N0. 100176 CLERK-TREASURER