101365 ROCK ON ICE INDIANA RETAIL TAX EXEMPT Page 1 of 1
City
CERTIFICATE NO.003120155 002 0" , ' PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101365
ONE CIVIC SQUARE 35-6000972 : : THIS NUMBER MUST APPEAR ON INVOICES,AIP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
CARMEL,INDIANA 46032-2584
SHIPPING
PPING 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
2/5/2018 _ 372233 ICE SCULPTURE
ROCK ON ICE Community Relations
VENDOR 4910 CARTER'S CORNER RD SHIP 1 Civic Square
TO Ca• rmel,... . l,:IN:46032-
SUNBURY,OH 43074-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS. : .FREIGHT•
23184
QUANTITY :: UNIT OF MEASURE DESCRIPTION : UNIT PRICE EXTENSION
•
Department. 1203 Fund: 101 General Fund
Account:. 43-593.00 •
•
1= Each:' : ICE SCULPTURE $1,000.00 . $1,000.00
Sub Total
. .. :$1,000.00. :-. .
-
•
i4 it* ` :
d
Send Invoice To: - ' '
Community Relations
•
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE '
DEPARTMENT . . :: .ACCOUNT:. .. PROJECT I I PROJECT ACCOUNT AMOUNT.
PAYMENT . $1,000.00
•NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
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 IM1(: :.
•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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. -ORDERED BY D
Nancy Heck
. .TITLE :: Director
CONTROL NO. CLERK-TREASURER