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101504 INTERSTATE BUSINESS SOLUTIONS, LLC INDIANA RETAIL TAX EXEMPT Page 1 of 1 City of cIIairrrie1 CERTIFICATE NO.003120155 72 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 101504 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, 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 311612018 372314 ADVERTISING FOR PARTY ON CENTER GREEN INTERSTATE BUSINESS SOLUTIONS, LLC Comrlunity Relations VENDOR 11316 HANBURY MANOR BLVD SHIP 1 Ci7c Square TO Carmel, IN 46032- NOBLESVILLE, IN 46060- PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 24227 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1203 Fund: 101 General Fund Account: 43-593.00 1 Each OLYMPIC VIEWING PARTY AT CENTER GREEN $5,800.00 $5,800.00 Sub Total $5,800.00 A Ya 1 ! . i Send Invoice To: :a w: Community Relations s.,._ L Vi 1 Civic Square YI Carmel, IN 46032- F PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT 1 PROJECT ACCOUNT AMOUNT PAYMENT $5,800.00 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 HEREBYCERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN *C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIEN1 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 �+ccyi 47, QL ��/-G4`-v `.e,e/ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY [[�' 'J\ Nancy Heck James Crider D� TITLE Director Administration CONTROL NO. 101504 CLERK-TREASURER