37085 Crown Trophy r INDIANA RETAIL TAX EXEMPT PAGE 1
� CERTIFICATE NO.003120155 002 0
City of Carmel _ -_ -- - - _ __ IPURCIIASF_ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 37085
35-60000972
I HIS NUMBHR MUS I APPEAR ON INVOICE S NI'
VOUCHLR OLI.IVERY MEMO.PACKING SI IPS,
SI LIPPING I AHEM S ANU ANY CORRE.SI'ONDE.NCL
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
•
PURCI EASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
512312014 05/20/14 1588 Founders Pavilion Internal Plaque&Wilfong Plaques
Crown Trophy MCC - East
807 West Carmel Drive 1235 Central Park Drive East
VENDOR Carmel, IN 46032 SHIP Carmel, IN 46032
TO
GONE IHMAIION III ANKE I GUN RAGE
I AVM!'Nr!HEMS I-HHCI11
QUANTITY _ --I.UNIT OF MFASUI2fI _ _ DESCRIPTION I UNIT PRICE I EXTENSION
1.000 each Bronze Casting Plaque - 14"w x 11"h; Style 990BC: with solid $629.00 $ 629.00
border around edges; need to rush delivery if possible
(example in line item notes)
4.000 each Corporate Plaques- 7"w x 9"h; Style 205; need to rush delivery $ 25.00 $ 100.00
if possible (example in line item notes)
1.000 each Art Set Up Charge $ 15.00 $ 15.00
G LAccou n tit 1125101-4359000
Send Invoice To:
$ 744.00
PLEASE INVOICE IN DUPLICATE
UCPARIMENI ACCOUNT I PROJECT _ IROJ[CI ACCOUNT I AMOUNT
I' JVD L.I.'3 5 D) y CC RAT C Tr'1.-L,,Fz {? 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATEO BALANCE IN THIS APPROPRIATION
SI LIP REPAID. SUFFICIENT rO PAY FOR THE ABOVE ORDER.
. C.0115111PMUNIS CANNOT BIACCfPTETI) BA'._
PUHCIIASI.ORDL-RNUMBI RMUS I APPFAH ON AIJ SI UPPING LAHFIS. JORDERED BY Lindsay Labas Jn/� �/ 5 ei
y rf f�. C 1�.1:_.�� 1 5 l�_� I
IEN O IN Y M1CFWI T S TIIH9 I ACES 4
AND AG IS AMI_NB A OHY I AND SU VPu:MdN I II:HI 10
TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 37085