101267 PARTY TIME RENTALS INC INDIANA RETAIL TAX EXEMPT Page 1 of
it ® II1ariririie1CERTIFICATE NO 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101267
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- 237300 - EVENT RENTALS
PARTY TIME RENTAL INC Community Relations
VENDOR 7250 N KEYSTONE AVE SHIP 1 Civic Square
TO::. C-Carmel, IN 46032-
INDIANAPOLIS, IN 46240-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22516
QUANTITY - UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department 1203 Fund 101 General Fund
Account: 43-590.03
1. Each EVENT RENTALS $12,400.00 $12,400.00"
Sub Total $12,400.00
ok
3
7
Send InvoiceTo: �,Aff
Community Relations
1.Civic Square ."
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT. : PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT . $12,400.00 :. . .
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 UNOBLI GATED 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 ..,Q
,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. • ORDERED BY
Nancy Heck - James C'deli\
TITLE Director Administ�@ n`
�1
CONTROL NO. "101267 CLERK-TREASURER