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HomeMy WebLinkAboutRollfast, Inc./CRED/$37,700/Cycling Event Services - ASACzTfshfzHsfdivlijobu2;17qn-Kbo18-3133 DocuSign Envelope ID: 15E0B74B-0FAA-491E-A7BC-00BB8A086FBF 1/19/2022 1/19/2022 1/19/2022 1/19/2022 DocuSign Envelope ID: 15E0B74B-0FAA-491E-A7BC-00BB8A086FBF DocuSign Envelope ID: 15E0B74B-0FAA-491E-A7BC-00BB8A086FBF DocuSign Envelope ID: 15E0B74B-0FAA-491E-A7BC-00BB8A086FBF 1/5/2022 ROLLFAST INDIANAPOLIS, IN 46280 - 106168 10630 WESTFIELD BLVD City of Carmel ONE CIVIC SQUARE CARMEL, INDIANA 46032-2584 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003120155 002 0 FEDERAL EXCISE TAX EXEMPT 35-6000972 PURCHASE ORDER NUMBER THIS NUMBER MUST APPEAR ON INVOICES, A/P VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION VENDOR SHIP TO PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT EXTENSION CYCLING EVENT SERVICES COMMUNITY RELATIONS 1 CIVIC SQ Carmel, IN 46032- 371349 UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY Page 1 of 1 62485 1203Department:101Fund:General Fund 43-593.00Account: CYCLING EVENTSERVICES1 $27,700.00 $27,700.00Each 27,700.00SubTotal 27,700.00 Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT SHIPPING INSTRUCTIONS SHIP PREPAID. C.O.D. SHIPMENT CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 194 PAYMENT A/P 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 AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. CONTROL NO. 106168 ORDERED BY TITLE CONTROLLER COMMUNITY RELATIONS 1 Civic Square Carmel, IN 46032- Nancy Heck James Crider Director Director of Administration DocuSign Envelope ID: 15E0B74B-0FAA-491E-A7BC-00BB8A086FBF 1/5/2022 ROLLFAST INDIANAPOLIS, IN 46280 - 106169 10630 WESTFIELD BLVD City of Carmel ONE CIVIC SQUARE CARMEL, INDIANA 46032-2584 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003120155 002 0 FEDERAL EXCISE TAX EXEMPT 35-6000972 PURCHASE ORDER NUMBER THIS NUMBER MUST APPEAR ON INVOICES, A/P VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION VENDOR SHIP TO PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT EXTENSION CYCLING EVENT SERVICES Community Relations 1 Civic Square Carmel, IN 46032- 371349 UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY Page 1 of 1 62487 1203Department:854Fund:Community Relations Gift 43-590.38Account: CYCLING EVENTSERVICES1 $10,000.00 $10,000.00Each 10,000.00SubTotal 10,000.00 Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT SHIPPING INSTRUCTIONS SHIP PREPAID. C.O.D. SHIPMENT CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 194 PAYMENT A/P 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 AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. CONTROL NO. 106169 ORDERED BY TITLE CONTROLLER Community Relations 1 Civic Square Carmel, IN 46032- Nancy Heck James Crider Director Director of Administration DocuSign Envelope ID: 15E0B74B-0FAA-491E-A7BC-00BB8A086FBF