101483 AMERICAN PLAQUE COMPANY EXEMPT Page 1 of
CitCarme
of E1 CERTIFICA ETANOI00INDIANA L 31015 002 0 PURCHASE ORDER1NUMBER
FEDERAL EXCISE TAX EXEMPT 101483
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
3/12/2018 367462 CITY SEALS FOR PODIUMS
AMERICAN PLAQUE COMPANY Community Relations
VENDOR PO BOX 1663 SHIP 1 Civic Square
TO Carmel, IN 46032-
SOUTH BEND, IN 46634-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
24117
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1203 Fund: 101 General Fund
Account: 43-593.00
1 Each CITY SEALS FOR PODIUMS $295.90 $295.90
Sub Total $295.90
y.-
Send Invoice To:
Community Relations
1 Civic Square
Carmel, IN 46032- `w b
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $295.90
SHIPPING INSTRUCTIONS 'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
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 Q
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 1.fvu 1. - _0 . /4,C.e,
AND •
ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY [3
Nancy Heck C.
TITLE Director
CONTROL NO. 101483 CLERK-TREASURER