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INDIANA RETAIL TAX EXEMPT
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CERTIFICATE NO. 003120155 002 0PURCHASE ORDER NUMBER
104959
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
2/2/2021359978
GOLF COURSE SUPER. ASSOC OF AMERIC Brookshire Golf Course
VENDOR1421 RESEARCH PARK DR SHIP 12120 Brookshire Pkwy.
TO
Carmel, IN 46033-
LAWRENCE, KS 66049--3859Pamela Lister(317) 846-7431
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
53675
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:1207Fund:101General Fund
Account:43-553.00
Each
1Bob's Due$600.00$600.00
$600.00
Sub Total
Send Invoice To:
Brookshire Golf Course
Pamela Lister
12120 Brookshire Pkwy.
Carmel, IN 46033-
(317) 846-7431
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
$600.00
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ORDERED BY
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Pam Lister
TITLE
Office Administrator
104959
'10531.01#
CLERK-TREASURER