HomeMy WebLinkAbout101173 TERRY & JANE FLECK itt3T
INDIANA RETAIL TAX EXEMPTPage 1 of 1
Cof Iarrrie1NO.00312
FEDERAL T EXCISE TAX EXEMPTO PURCHAtS®ORD��UMBER
ONE CIVIC SQUARE 35-6000972 IS BR MAAR OIVOI ,A/
CARMEL, INDIANA 46032-2584 VOUCHER,ED ELIVERYUST MEMOPPE ,PACKINGNNCES
SLIPS,P
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
12/15/2017 363994
TERRY&JANE FLECK Dept of Community Service
VENDOR 225 FIRST ST SW SHIP 1 Civic Square
TO Carmel, IN 46032-
RMBLAELN,KIENT 460002NT-
RACTPURCHASE IDCAPAYMENT TERMS FREIGHT
21855
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192Fund: 101 General Fund
Account: 43-590.29
1 Each Facade Grant $4,999.99 $4,999.99
Sub Total $4,999.99
Send Invoice To: -
Dept of Community Service
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $4,999.99
SHIPPING INSTRUCTIONS 'AIP 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 / / 1
794f_
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 —' ��' �
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Mike Hollibaugh4.7
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TITLE Director \\
CONTROL NO. 101 173 CLERK-TREASURER