HomeMy WebLinkAbout56166 KOLACHE FACTORY f INDIANA RETAIL TAX EXEMPT PAGE 1
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CERTIFICATE NO.003120155 002 0
a,4 ... PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT °
35-60000972 r �-
1' "
ONE CIVIC SQUARE
CARMEL.INDIANA 46032-2 THIS NUMBER MUST APPEAR ON INVOICES,/VP
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
37112/13/2021 12/18/21 27120 UFO 30 AO End of Year Appreciation Breakfast-12/15/21
Kolache Factory Administration Office
PAID THROUGH UFB-VISA 1411 E. 116th Street
VENDOR TOIP Carmel, IN 46032
CONFIRMATION BLANKET v CONTRACT
... .. .. .e. ..........................__ .. ,� .,, ,,,, „ . ........_ ......._. ---
PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each Standard Party Tray 6ea-Egg&Cheese, Ham&Cheese, $66.690 $66.69
Bacon&Cheese, Sausage&Cheese, Fruit and Cream
Cheese
GLAccount# 1125401-4239000
Send Invoice To:
$66.69
PLEASE INVOICE IN DUPLICATE
.......,_,..., DEPARTMENT....,. .........,.�..., ._.- -- T _ ..........PROJECT ACCOUNT T. .... .,,,AMOUNT..,,,,,, ..,
� ACCOUNT PROJECT ._m
PAYMENT
• 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
▪ C.O.D SHIPMENTS CANNOT BE ACCEPTED.• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper (C4vv
— I b"I.3r 2 1
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Purchasing Administrator
CONTROLLER
DOCUMENT CONTROL NO. _Se /6 6, VENDOR COPY