101512 MELROSE PYROTECHNICS INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
ciit)r ®f Iiarinrie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101512
I 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
1
IPURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
3/16/2018 366315 2018 CARMELFEST FIREWORKS
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MELROSE PYROTECHNICS INC Community Relations
VENDOR 1 KINGSBURY INDUSTRIAL PARK SHIP 1 Ci)ic Square
PO BOX 302 TO Car lel , IN 46032-
1 KINGSBURG, IN 46345-
Pi URCHASE ID I BLANKET CONTRACT PAYMENT TERMS IFREIGHT
24244
I
I QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1203 Fund: 101 General Fund
Account: 43-590.03
1 Each FIREWORKS CARMELFEST 2018 $32,500.00 $32,500.00
Sub Total $32,500.00
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Send Invoice To: . i
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Community Relations
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
L___ DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT
PAYMENT $32,500.00
SHIPPING INSTRUCTIONS 'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIP PREPAID. PART OF THE VOUCHER AND EVE Y 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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �i I.
f/ 1L �i!-'/�"`--s' 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Nancy Heck James Crider -"A-)
TITLE Director Administration \to
CONTROL NO. 101512 CLERK-TREASURER .3