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cilt)T of II21iri1nnIe1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100772
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
10/5/2017 367734
I R C MUSIC STORES INC General Administration
VENDOR 5911 E 82ND STREET SHIP 1 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46250-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
19577
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1205 Fund: 101 General Fund
Account: 42-390.99
1 Each Other Misc $218.00 $218.00
Sub Total $218.00
Send Invoice To:
Dept of Administration
1 Civic Square
Cannel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ? ACCOUNT 1 PROJECT 1 PROJECT ACCOUNT 1 AMOUNT
PAYMENT $218.00
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 4 4*_. \ ,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
James Crider \\\
TITLE Administration
CONTROL NO. 100772 CLERK-TREASURER - -