101268 ROB DEROCKER INDIANA RETAIL TAX EXEMPT Page 1
of 1
Cito f Carr CERTIFICATE°NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 01268
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
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 - 366912 PUBLIC RELATIONS
•
ROB DEROCKER Community Relations
VENDOR: 3 WARNER LANE SHIP 1 Civic Square
TO. Carmel, IN 46032- .. .
TARRYTOWN, NY 10591 -
- PURCHASE ID BLANKET CONTRACT PAYMENT TERMS" FREIGHT
22518
QUANTITY : UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department 1203 Fund 101 General Fund
Account:-43-404.01
1: Each PUBLIC RELATIONS $125,000.00 - $125,000.00
Sub Total $125,000.00
•
•
,011e
Send Invoice To: ‘01
Community Relations
1 Civic Square- - •.. .
Carmel, IN 46032- . _ :" ty
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT. PROJECT PROJECT ACCOUNT AMOUNT.
PAYMENT . . $125,000.00.
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 UNOBUGATED 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 acct/
- AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Nancy Heck Jame
TITLE Director Admin n.
CONTROL NO. .'101268 CLERK-TREASURER