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ofCarme1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
�j FEDERAL EXCISE TAX EXEMPT 101030
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
12/7/2017 371365 2017/2018 SEASON PROGRAM AD
CHS OVATION Community Relations
VENDOR 520 EAST MAIN STREET SHIP 1,Civic Square
ATTN: CHORAL DIRECTORS TO
Carmel, IN .46032-
CARMEL,IN 46032-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21377
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1203 Fund: 101 General Fund
Account: 43-465.00
1 Each 2017/2018 SEASON PROGRAM AD $3,000.00 $3,000.00
Sub Total $3,000.00
.T.
Send Invoice To: _ r
Community Relations 4�
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1 Civic Square
Carmel, IN 46032-
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $3,000.00
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 lvu i 5 ,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY A
Nancy Heck \,�)
TITLE Director V
CONTROL NO. 101030 CLERK-TREASURER