HomeMy WebLinkAbout100818 LIBERTY ART WORKS, INC •
0 INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of II11airiiiiiie1 CERTIFICATE NO.0031201550020 PURCHASE ORDERNUMBER
FEDERAL EXCISE TAX EXEMPT 100818
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO.PACKING SLIPS, 1
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
10/1812017 358649 Retirement Axes
LIBERTY ART WORKS, INC Fire Department
VENDOR PO BOX 38 SHIP 2 Civic Square
TO Carmel,IN 46032-
DUTZOW,
MO 63342-
PURCHASE ID I BLANKET 1 CONTRACT PAYMENT TERMS FREIGHT
19913
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.99
5 Each 008 Classic Maltese Axe-No Tag Handle $320.00 $1,600.00
5 Each Shipping $15.00 $75.00
Sub Total $1,675.00
Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
L DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $1,675.00
'A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS 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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY (4\
Denise Snyder
TITLE Budget&Accreditation Manager \c
CONTROL NO. 100818 CLERK-TREASURER