24564 Liberty Art Works City0 INDIANA RETAIL TAX EXEMPT PAGE
o Carmel°,�anal CERTIFICATE NO.003120155 002 0 \ E \��
���aa//// �La �1/LVi Jl PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 24564
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 f 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
21132014 - S�‘ Nz \.cs O4_sJo S
Liberty Art Works Cannel Fire Department
VENDOR SHIP 2 Cannel Civic Square
TO
P.O. Box 38 Carmel, IN 46032
Dutzow, MO 63342 (317)571-2622
CONDBIMTION BLANKET CONTRACT PAYMENT TERMS - FREIGHT
\x ` ..
QUANTITY UNIT OF MEASURE N DESCRIPTION UNIT PRICE I EXTENSION
Account 43-590.00
1 Each 027A- Bronze Playpipe $300.00 $300.00
- 8 Each 040- Helmet Award- Black Patina $235.00 $1,410.00
3— ll Sub Total: $1,710.00
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Send Invoice To: 1j1/�. uv 1�"�71
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Cannel Fire Department
2 Cannel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT 'S AMOUNT
Cannel Fire Department PAYMENT 1 71000
. • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS HE-P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS . • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY�Q�.w .. w��✓
SHIPPING LABELS. 1._- v
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE _ �,%�``\\�_ `�N\o ✓
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
24564 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY