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Cityof Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100561
ONE CIVIC SQUARE 35-6000972 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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
7/12/2017 371518 COINS FOR VETERANS
MEDALS OF AMERICA Community Relations
VENDOR 114 SOUTHCHASE BLVD SHIP 1 Civic Square
TO Carmel, IN 46032-
FOUNTAIN INN,SC 29644-
PURCHASE ID BLANKET CONTRACT III PAYMENT TERMS FREIGHT
17085I 1
QUANTITY { UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Department: 1203 Fund: 854 Community Relations Gift
Account: 43-590.35
1 Each COINS FOR VETERANS $2,939.99 $2,939.99
Sub Total $2,939.99
Send Invoice To:
Community Relations
1 Civic Square
Carmel, IN 46032-
DUPLICATE
DEPARTMENT - ACCOUNT PROJECT
INVOICE JE PROJECT � PROJECT ACCOUNT I AMOUNT
__
PAYMENT $2,939.99
SHIPPING INSTRUCTIONS '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
'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 LABEL / \
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 It ORDERED BY _..\\L'utt,..• N Q 7:/Cti4L
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. Nancy Heck
TITLE Director
CONTROL NO. 1 00561 CLERK-TREASURER