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City of
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
.. ...
FEDERAL EXCISE TAX EXEMPT
101180
ONE CIVIC SQUARE • 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL;INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL=1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR.NO. DESCRIPTION `l
12/15/2017 0035100604,
PRESTIGE PERFORMANCE II INC Community Relations
VENDOR 326 JOHN STREET SHIP 1 Civic Square
TO._ Carmel, IN 46032-
CARMEL, IN 46032-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21869
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department 1203 Fund: 101 General Fund
Account: 43-593.00
1 Each PROMOTIONAL SUPPLIES FOR INV.NOS.: $14,130.00 $14,130.00
7315,7316,7317,7318,7319,7320,AND 7321
Sub Total_ $14,130.00
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Send Invoice To: Yy
Community Relations \ \\
1 Civic Square. `' °"�
Carmel, IN 46032- -. � ,��� .Aor ``�
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT 1 PROJECT ACCOUNT .: AMOUNT
PAYMENT . $14,130.00
•
SHIPPING INSTRUCTIONS A/P 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 `/f±t d ^' ' L 1f�+Lcs"� �l
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Nancy Heck James Crider
TITLE Director Administration
CONTROL NO. 101180 CLERK-TREASURER