101368 JOHNATHAN HARVEY RUSSELL INDIANA RETAIL TAX EXEMPT Page 1
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Cairmel CERTWICATE NO.003120155 002 0 ' PURCHASE ORDER NUMBER . •
FEDERAL EXCISE TAXEXEMPT 101368
ONE CIVIC SQUARE I 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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 • 372230 ICE SCULPTURE CULPT
aOHNATHAN HARVEY RUSSELL Community Relations
VENDOR: 9326 ASTER AVE:• SHIP 1 Civic Square
• T . C mel,:IN:46032
O'. Car
AFFTON, MO 63123-
PURCHASE ID BLANKET CONTRACT : :. . PAYMENT,TERMS:: FREIGHT
23188 .
QUANTITY :: UNIT OF MEASURE :- : DESCRIPTION UNIT PRICE EXTENSION
•
Department 1203 Fund 101 General Fund
• Account: 43-593.00.
1: Each: ICE E SCULPTURE $1,000.00 $1,000.00
Sub Total ... .$1,000.00. ::
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Send Invoice To: = - "
Community Relations .
1:Civic Square
Carmel, IN 46032-_
• PLEASE INVOICE IN DUPLICATE.
DEPARTMENT .. ..I ACCOUNT:: :. PROJECT :PROJECT ACCOUNT :. .. . AMOUNT. .
PAYMENT ::. : : .. . . $1,000.00
SHIPPING INSTRUCTIONS `A/P 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 UNOBLI GATED 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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ...
. .
Nancy Heck
•
: . :TITLE . Director ::. : : ..
CONTROL NO. 101368 CLERK-TREASURER