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Cit3T of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102504
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
1/7/2019 371349 CYCLING EVENT SERVICES
ROLLFAST, INC Community Relations
VENDOR 10630 WESTFIELD BLVD SHIP 1 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46280-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
32774
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1203 Fund: 101 General Fund
Account: 43-593.00
1 Each CYCLING EVENT SERVICES $29,500.00 $29,500.00
Sub Total $29,500.00
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Send Invoice To: .: �.,__. :..1.h .� =na � ._. I
Community Relations ',
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1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $29,500.00
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 /J Q�
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 / 1,4A-t ccc,i 7�QL is_, —c�, O
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY �� �/�
Nancy Heck James Crider t_J�)
TITLE Director Administration
CONTROL NO. 102504 CLERK-TREASURER `
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