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INDIANA RETAIL TAX EXEMPT
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CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
104545
FEDERAL EXCISE TAX EXEMPT
35-6000972
ONE CIVIC SQUARE
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CARMEL, INDIANA 46032-2584
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FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
10 bike racks installed and maintanenced
12/1/2020366176
BELSON OUTDOORS, INC Dept of Community Service
VENDOR111 N RIVER ROAD SHIP 1 Civic Square
TO
Carmel, IN 46032-
NORTH AURORA, IN 60542 -
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
51829
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund:
1192101General Fund
Account:
43-500.00
1EachBike racks$1,927.70$1,927.70
Sub Total$1,927.70
Send Invoice To:
Dept of Community Service
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
$1,927.70
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Mike Hollibaugh
TITLEDirector
104545
'10531.01#
CLERK-TREASURER