HomeMy WebLinkAboutRollfast, Inc./DOCS/$37,700/Professional Services for Bike Carmel Events - ASACzTfshfzHsfdivlijobu3;16qn-Nbs33-3134
DocuSign Envelope ID: 3717C19A-663A-4AD0-AF36-36AF52C04B9D
Not Present
4/6/2023
4/6/2023
4/6/2023
DocuSign Envelope ID: 3717C19A-663A-4AD0-AF36-36AF52C04B9D
DocuSign Envelope ID: 3717C19A-663A-4AD0-AF36-36AF52C04B9D
DocuSign Envelope ID: 3717C19A-663A-4AD0-AF36-36AF52C04B9D
1/6/2023
ROLLFAST
INDIANAPOLIS, IN 46280 -
108393
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
PROFESSIONAL SERVICES FOR BIKE CARMEL EVENTS
COMMUNITY RELATIONS
1 CIVIC SQ
Carmel, IN 46032-
371349
UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY
Page 1 of 1
73134
1203Department:101Fund:General Fund
43-593.00Account:
PROFESSIONAL SERVICES FOR BIKE CARMELEVENTS1 $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 LABEL
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
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. 108393
ORDERED BY
TITLE
CONTROLLER
COMMUNITY RELATIONS
1 Civic Square
Carmel, IN 46032-
Nancy Heck James Crider
Director Director of Administration
DocuSign Envelope ID: 3717C19A-663A-4AD0-AF36-36AF52C04B9D
1/6/2023
ROLLFAST
INDIANAPOLIS, IN 46280 -
108394
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
PROFESSIONAL SERVICES FOR BIKE CARMEL EVENTS
Community Relations
1 Civic Square
Carmel, IN 46032-
371349
UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY
Page 1 of 1
73135
1203Department:854Fund:Community Relations Gift
43-590.38Account:
PROFESSIONAL SERVICES FOR BIKE CARMELEVENTS1 $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 LABEL
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
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. 108394
ORDERED BY
TITLE
CONTROLLER
Community Relations
1 Civic Square
Carmel, IN 46032-
Nancy Heck James Crider
Director Director of Administration
DocuSign Envelope ID: 3717C19A-663A-4AD0-AF36-36AF52C04B9D