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101369 SHANNON GERASIMCHUK
. • INDIANA RETAIL TAX EXEMPT Page 1 of 1 : ''-. - * lit :® ., are. - ::- CERTIFICATE NO.003120155 002 0 _ PURCHASE ORDER NUMBER , .114. FEDERALEXCISE TAX EXEMPT- : : : 101:369 ONE CIVIC SQUAREI . 35.-0000972 .: . . THIS NUMBER MUST APPEAR ON INVOICES,NP CARMEL;INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING 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- - 372228 . ICE SCULPTURE SHANNON GERASIMCHUK- . - . -° ° Community Relations VENDOR .1400 MARCHFIELD WAY • - ::SHTIP 1 Civic Square- : . ... Carmel,:IN.46032-: .. COLUMBUS;OH 43204- PURCHASE. ID BLANKET CONTRACT " PAYMENT TERMS::: :. . FREIGHT::: _ .23189 - ::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 .:. . .:- . . $1,000.00. :: Total . . . - ' -.::.- :•:';i','71'7 . ' ': ' -- 1:40,A..' . . : '.: :' . : : : • .- ::.. :.. , :..--''''cyli,:..: .. '''''''''-.'"'''''."'''-'..!,:g:i +-ii.:0:$1::.: =',. . . : :.: : •.. :.. .:. .•: : • . . . . • : . • - - . . . .-. . . . . .._ 74 . : . Send Invoice-To: : : . -. , : . . CommunityRelations ... . . , ... 1 Civic"Square Carmel, IN 460327 .' PLEASE INVOICE IN DUPLICATE :. . DEPARTMENT .. ..I. :: ACCOUNT. .. D... . . PROJECT ..: :. . I PROJECT ACCOUNT ..1 .. . AMOUNT. . ::. :-: : : ::PAYMENT ::- ... . . $1,090.00 ". -.,1.1„......1:,,. - - - :•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 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 i QQ *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. : CLERK-TREASURER :