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HomeMy WebLinkAbout102789 HOLLYWOOD BUMP & GRIND INDIANA RETAIL TAX EXEMPT Page 1 of 1 Iit)r:City of 1I1airrinie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 102789 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP 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 4/10/2019 372102 HOLLYWOODS BUMP&GRIND Carmel Police Department VENDOR 10550 JESSUP BLVD SHIP 3 Civic.Square TO Carmel,:IN 46032- INDIANAPOLIS, IN 46280 Blaine Mallaber PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 35302 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1110 Fund: 101 General Fund Account: 43-510.00 1 Each vehicle repairs $1,112.23 $1,112.23 Sub Total $1,112.23 f. iff a� s „a, #y i 'Y Send Invoice To: N. V Carmel Police Department 'Paris Accounts Payable 3 Civic Square <. Carmel, IN 46032- `mow PLEASE INVOICE IN DUPLICATE DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT PAYMENT $1,112.23 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 4�j}r1w— AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Jim Barlow TITLE Chief CONTROL NO. 102789 CLERK-TREASURER