101264 OLD TOWN ON THE MONON INDIANA RETAIL TAX EXEMPT Page 1 of 1
City oil Carriei CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101264
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 .
1/9/2018- 358320 GARAGE RENTAL FOR EVENT SUPPLIES
OLD TOWN ON THE MONON Community Relations
VENDOR 111 W MAIN ST,SUITE 125 SHIP 1 Civic Square
TO
Carmel, IN 46032-
CARMEL, IN 46032-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22512
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department 1203 Fund 101 General Fund
Account: 43-590.03
1 Each GARAGE RENTAL FOR EVENT SUPPLIES . ' $4,500.00 _ $4,500.00
Sub Total $4,500.00
kJ 4 %.7114071:
t.
:.
.
t --j
Send Invoice To. r. 4 _
Community Relations
1 Civic Square.
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT . ACCOUNT PROJECT A PROJECT ACCOUNT I . AMOUNT
PAYMENT . $4,500.00
SHIPPING INSTRUCTIONS 'AN 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..1 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
,
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 � ��mow d / \ .
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Nancy Heck
TITLE Director A -
CONTROL NO. :101264 CLERK-TREASURER