101155 HOBBY LOBBY STORES INDIANA RETAIL TAX EXEMPT Page 1 of 1
II itCity of CIIairiinie1PURCHASE CERTIFICATE NO.003120155 002 0 PURCHA101155
SEoORDER�UMBER
FEDERAL EXCISE TAX EXEMPT '' '' �I .���
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/14/2017 354296 EVENT SUPPLIES
HOBBY LOBBY STORES Community Relations
VENDOR .PO BOX 960070 SHIP. 1 Civic Square
TO Carmel, IN 46032-
OKLAHAMA CITY,OK 73196--0070
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21835
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1203 Fund: 101 General Fund
Account: 43-590.03
1 Each INVOICES 68945725 AND 68843693 $81.38 $81.38
Sub Total $81.38
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39 !
8
Send Invoice To:
Community Relations P. '
1 Civic Square
Carmel, IN 46032-
•
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $81.38
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 IA- p
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 / t di �c az_
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Nancy Heck \
TITLE Director
CONTROL NO. 101 155 CLERK-TREASURER �\