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CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103441
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/11/2019 372231 ICE CARVER FOR FESTIVAL OF ICE AT CENTER GREEN 1/10
TO 1/12,2020 ,
JEFF PETERCSAK Community Relations
VENDOR 700 TAMI SUE CT SHIP 1 Civic Square
TO Carmel, IN 46032-
WESTERVILLE,OH 43082-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
42507
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE : EXTENSION
- Department: 1203 Fund: 101 General Fund
Account: 43-590.03
1 Each ICE CARVER FOR FESTIVAL OF ICE AT CENTER.GREEN $1,250.00 $1,250.00
1/10 TO 1/12,2020
Sub Total $1,250.00
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Send Invoice To: ' 15'
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Community.Relations •,,
1 Civic Square ' „ ,
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT S AMOUNT
PAYMENT $1,250.00
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 �i /Y. L.li'�rtQ
.-
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Nancy Heck
TITLE Director
CONTROL NO. 103441 CLERK-TREASURER