101370 MEDALS OF AMERICA INDIANA RETAIL TAX EXEMPT Page 1 of 1
it3 ®,..: . ar e CERTIFICATE'NO.003120155 002 0. . ' PURCHASE ORDDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101370
- ONE CIVIC SQUARE35-6000972 -: THIS NUMBER MUST APPEAR ON INVOICES,A/P -
CARMEL INDIANA 46032-2584
SHIPPINGAND ESP
VOUCHER,DELIVERYSLIPS,
LABELS 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 371518 - VIETNAM 50TH ANNIVERSARY COIN
MEDALS OF AMERICA Community Relations
- VENDOR: 114 SOUTHCHASE BLVD :' :• SHIP 1 Civic Square : -
T• ._ Carmel, IN:46032-::. . . .-. . . .. . . .
Car
. FOUNTAIN•INN,SC 29644 . •
.
- • PURCHASEID BLANKET CONTRACT . .
PAYMENT TERMS;;: :. - FREIGHT:;: ;-
.23190 .
QUANTITY ::- - : UNIT OF MEASURE: : DESCRIPTION. UNIT PRICE EXTENSION
-Department 1203:. . Fund 101 General Fund :• .:.
Account:. 43-590.03 -
1: Each: : - - VIETNAM 50TH ANNIVERSARY COINS: $519.99 $519.99
.:. u $519.99 .
Sub Total •
. : . '' ''''‘IP- 01" CA )7?. ' \ -
. .
00 f
• Send InvoiceTo: : e e_
Community Relations . . . .. .
e.,
-
1:Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE.
I. . DEPARTMENT .. .. . ..: ACCOUNT :. . PROJECT
::PROJECT ACCOUNT AMOUNT. -
PAYMENT .- - . $519.9
9
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 UNOBUGATED.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. CLERK-TREASURER