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City of Cariiie]I CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103168
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
10121/2019 371731 2019 CHRISTMAS ORNAMENT
CHEMART COMPANY Community Relations
VENDOR 15 NEW ENGLAND WAY SHIP 1 Civic Square
TO Carmel, IN 46032-
LINCOLN, RI 02865-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
40764
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1203 Fund: 101 General Fund
Account: 43-590.03
1 Each 2019 CARMEL CHRISTMAS ORNAMENT-100 ORNAMENTS $1,325.00 $1,325.00
INCLUDING UNIT COST,SHIPPING&HOT STAMP EXPENSES
Sub Total $1,325.00
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Send Invoice To:
Community Relations =5
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1 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
L DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $1,325.00
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
Nancy Heck `'O
TITLE Director
CONTROL NO. 103168 CLERK-TREASURER