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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