101367 MICHAEL D. STODDART INDIANA RETAIL TAX EXEMPT Page 1 of 1 -
City
CERTIFICATE'NO.003120155 002 0 PURCHASE ORDER NUMBER
• FEDERAL EXCISE TAX EXEMPT 1 01 367
ONE CIVIC SQUARE 35-6000972 : THIS NUMBER MUST APPEAR ON INVOICES,NP
• VOUCHER,DELIVERY MEMO,PACKING SLIPS,
CARMEL, INDIANA 46032-2584 - 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 -=
•
2/5/2018 372234 ICE SCULPTURE
.
MICHAEL D.STODDART Community Relations
• VENDOR: 333 N.ASHLAND AVE. . :• .
SHIP 1 Civic Square •
TO
Car.. C 46032-
LEXINGTON, KY 40502
.PURCHASE ID BLANKET CONTRACT
PAYMENT TERMS;; ;. FREIGHT;;; ; ,
23187 . .
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
SubTotal • $1,000.00
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Send Invoice To: . '`,fi M;e .
Community Relations
1:Civic Square •
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE.
;. . DEPARTMENT I. .:: .ACCOUNT:: : PROJECT I PROJECT ACCOUNT .: :. . AMOUNT.
PAYMENT :: $1,000.00
•NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESSTHE P.O. NUMBER IS MADE A. -
SHIPPINGINSTRUCTIONS - PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN.
SHIP PREPAID.
`
AFFIDAVITATTACHED.:I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATEDBALANCE 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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. • ORDERED BY
• Nancy Heck
-: :. . . TITLE :: Director ::.
CONTROL NO. 101367 CLERK-TREASURER