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11t)T of Inrinnie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER 1
FEDERAL EXCISE TAX EXEMPT 100608
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 1 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
7/26/2017 371349 ADDITIONAL SERVICES
CROLLFAST,INC Community Relations
VENDOR 4620 BUCKINGHAM COURT SHIP 1 Civic Square
TO Carmel, IN 46032-
CARMEL,IN 46033-
PURCHASEPURCHASE 1E/7, BLANKET CONTRACT PAYMENT TERMS FREIGHT
17584 I
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE � EXTENSION
Department: 1203 Fund: 101 General Fund
Account: 43-593.00
1 Each ADDITIONAL SERVICES $5,500.00 $5,500.00
Sub Total $5,500.00
Send Invoice To:
Community Relations
1 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT i PROJECT LPROJECT ACCOUNTAMOUNT
PAYMENT $5,500.00
SHIPPING INSTRUCTIONS '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
'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 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY — — —
Nancy Heck Douglas Haney
TITLE Director Corporation Counsel Ir>\
CONTROL NO. 100608 CLERK-TREASURER