HomeMy WebLinkAbout101139 LIBERTY ART WORKS, INC INDIANA RETAIL TAX EXEMPTPage 1 of 1
City ®f Iiirrrie1
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101139
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
12/14/2017 358649 Service Awards
LIBERTY ART WORKS, INC Fire Department
VENDOR PO BOX.38 SHIP 2 Civic.Square
TO Carmel, IN 46032-
DUTZOW, MO 63342-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21802
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE - EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.99
1 Each Service Awards $3,500.00 $3,500.00
1 Each Shipping $80.00 $80.00
Sub Total $3,580.00
.ten..
Send Invoice To:
Fire Department we.
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $3,580.00
SHIPPING INSTRUCTIONS •NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
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
Denise Snyder J\\\v\
TITLE Budget&Accreditation Manager
CONTROL NO. 101 139 CLERK-TREASURER \