101312 VIVE EXTERIOR DESIGN INDIANA RETAIL TAX EXEMPT Page 1 of 1 ,Iit)rof C1ariiie1 HA ORDER - -
CERTIFICATE NO.003120155 002 0 PURCHAISEf` I�UMBER
FEDERAL EXCISE TAX EXEMPT II V0 11 II
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
1/23/2018 365802 Palladium&Tarkington
VIVE EXTERIOR DESIGN Street Department
VENDOR 12595 CUMBERLAND ROAD SHIP 3400 W. 131st Street
TO Carmel,IN 46074-
FISHERS, IN 46038- (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22847
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department. 2201 Fund: 2201 . Motor Vehicle Highway FND
Account: 43-509.00
1 Each Right of Way Palladium Tarkington $4,000.00 $4,000.00
Sub Total $4,000.00
� 4 S
Send Invoice To:
Street Department
3400 W. 131st Street
Carmel, IN 46074-
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $4,000.00
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 UNOBLIGATED BALANCE IN
•C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
`THIS E SSUE IN BER MUST APPEAR H ALLSHIPPING LABEL
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY �1?
Dave Huffman1)4
\ V�
TITLE Director
CONTROL NO. 101312 CLERK-TREASURER