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® CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103578
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
12/19/2019 355765
ARCTIC ZONE LLC Human Resources
VENDOR 1040 3RD AVE SW SHIP 1 Civic Square,
TO Carmel,IN 46032-
CARMEL,IN 46032-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
42848
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 922 Fund: 922 Ice Rink Fund
Account: 43-509.00
1 Each Other Contracted Services $17,299.33 $17,299.33
Sub Total $17,299.33
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Send Invoice To: rK
Human Resources s°
/u
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $17,299.33
SHIPPING INSTRUCTIONS 'ASP 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 TOPAY FOR THE ABOVE ORDER.
TH E SSUE IN BER MUST APPEAR H ALL SHIPPING
99,ACTS
LABEL % `-�'�_'� _ _` %
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
James Crider James Crider
TITLE Administration Administration
CONTROL NO. 103578 CLERK-TREASURER