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City of Iairiririie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102881
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AR
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
5/13/2019 373317
TIMOTHY D HAWKINS Redevelopment Commission
VENDOR 1570 VIA CAPRI#1 SHIP 30 W Main Street,Suite 220
TO Carmel, IN, 46032-
LAGUNA'BEACH,CA 92651 - . Micheal Lee. (317)571-2788
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
36213
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 902 Fund: 902 Carmel Redevelopment Fund
Account: 43-419.00
1 Each $55,000.00 $55,000.00
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Art Consultant
Sub Total $55,000.00
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Send Invoice To:
Redevelopment Commission
Michael Lee
30 W Main Street,Suite 220
Carmel, IN 46032- . '
(317)571-2788 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT [ PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $55,000.00
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
*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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Henry Mestetsky Henry Mestetsky
TITLE -
CONTROL NO. 102881 CLERK-TREASURER J