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100442 MAGIC ICE USA, INC. a'C INDIANA RETAIL TAX EXEMPT Page 1 of 1 ty of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 100442 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P • 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 5/15/2017 371675 Ice skates and ice skate sharpener for Palladium Plaza ice rink MAGIC ICE USA, INC. Redevelopment Commission VENDOR 10364 S.W. 128TH TERRACE SHIP 30 W Main Street,Suite 220 TO Carmel, IN 46032- MIAMI, FL 33176- Micheal Lee (317)571-2788 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS r FREIGHT 15341 I QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 902 Fund: 902 Carmel Redevelopment Fund Account: 44-608.07 1 Each Automated ice skate sharpener $1,300.00 $1,300.00 300 Each Pairs of ice skates for Palladium Plaza rink $80.00 $24,000.00 Sub Total $25,300.00 Send Invoice To: Redevelopment Commission Michael Lee 30 W Main Street,Suite 220 Carmel, IN 46032- (317)571-2788 PLEASE INVOICE IN DUPLICATE DEPARTMENT 1 ACCOUNT _PROJECT 1 PROJECT ACCOUNT 1 AMOUNT PAYMENT $25,300.00 SHIPPING INSTRUCTIONS '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 'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN *C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. `PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL t� 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 C2J?_LJ1 *-- _,' AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ----- `� Corrie Meyer `� TITLE J CONTROL NO. 100442 CLERK-TREASURER