101269 ROLLFAST INC ' INDIANA RETAIL TAX EXEMPT Page 1
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® Iartiiiie� CERTIFICATE NO.0031201550020 : PURCHASE ORDER NUMBER" FEDERAL EXCISE TAX EXEMPT 101269
- ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
• 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 371349 PLANNING,ADVISING AND IMPLEMENTATION FOR BIKE
. EVENTS
ROLLFAST INC Community Relations
VENDOR 4620 BUCKINGHAM COURT - SHIP 1 Civic Square -
TO"
Carmel,:IN.46032-
• CARMEL, IN 46033-
' PURCHASE ID BLANKET CONTRACT -i -
PAYMENT TERMS;:: FREIGHT;"
22519
QUANTITY : UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department 1203 Fund 101 General Fund
Account 43-593.00
1: Each. • PLANNING,ADVISING AND IMPLEMENTATION FOR BIKE $22,850.00 $22,850.00
EVENTS -
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Sub Toa $22,850.00 "
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Send Invoice To: :._
Community Relations
1 Civlc Square. - •
.
Carmel, IN 46032- : : L , . ri .
- PLEASE INVOICE IN DUPLICATE
. DEPARTMENT . ACCOUNT.: : I: . . PROJECT . .Y PROJECT ACCOUNT .. . AMOUNT
PAYMENT $22,850.00 .
SHIPPING INSTRUCTIONS 'AIP 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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 .�it �In 47),
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. •ORDERED BY I-.
Nancy Heck James 'cleki
.
: : .. . : TITLE - Director Adminis' i
CONTROL NO. 101269 CLERK-TREASURER - •'4