31764 Melrose Pyrotechnics City O of f Carmel IRTIFICARENOLTAX015500 PAGE
I'�/ CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31764
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AP
CARMEL, INDIANA 46032-2584 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
02/2014
Melrose Pyrotechnics, Inc. City of Carmel
VENDOR Attn: Gary Poe SHIP Dept.of Community Relations &
P. O. Box 302 TO Economic Development
Kingsbury, IN 46345 One Civic Square
Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Fireworks for CarmelFest 2014 $25 ,000 .00
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Send Invoice To ~ -- '' °" ♦•�( +
. 1203/4359003 '/ $25,000.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• NP 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.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY TIN THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATI N,SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C .SHIPMENTS CANNOT BE ACCEPTED.
•
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 4,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 31764 CLERK-TREASURER
OFFICE COPY