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City
� t of Carme� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
�j FEDERAL EXCISE TAX EXEMPT 103306
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
12/2/2019 358649 Service Awards
LIBERTY ART WORKS, INC Carmel Fire Department
VENDOR PO BOX 38 SHIP 2 Civic.Square
Carmel,IN.46032-
DUTZOW, MO 63342-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
41958
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-509.00
8 Each 027A Bronze Playpipe Award $325.00 $2,600.00
21 Each 002Z Custom Leather Shield Plaques $135.00 $2,835.00
16 Each 040 Helmet Awards $255.00. $4,080.00
1 Each Shipping $240.00 $240.00
Sub Total $9,755.00
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,
Send Invoice To: A . � ' -
Carmel Fire Department :
2 Civic Square ° „ t
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $9,755.00
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 ' -J ` •.--` -'
✓ `/
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder James Crider
TITLE Accreditation Budget Administrator Administration
CONTROL NO. 103306 CLERK-TREASURER