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Chit of Carme CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER g
FEDERAL EXCISE TAX EXEMPT 1 02877
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
5/1312019 366315 FIREWORKS DISPLAYS
MELROSE PYROTECHNICS INC Community Relations
VENDOR 1 KINGSBURY INDUSTRIAL PARK SHIP 1 Civic Square
PO BOX 302 TO Carmel, IN 46032-
KINGSBURG, IN 46345-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
36209
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1203 Fund: 101 General Fund
Account: 43-590.03
1 Each FIREWORKS CARMELFEST 2019 $40,000.00 $40,000.00
Sub Total - $40,000.00
Account;.41493439
1 Each FIREWORKS NYE 2019 $5,500.00 $5,500.00
$5,500.0Q,
Su Total
d ' S
p ._fix
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Send Invoice To: i L`_ . ... ,a.
Community Relations �. ,
1 Civic Square p,.
Carmel,IN 46032- V -.
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $45,500.00
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
*COD.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 i _S. 111 4_ 1 """"t
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Nancy Heck James Crider Nt..
TITLE Director Administration
CONTROL NO. 102877 CLERK-TREASURER