101540 MELROSE PYROTECHNICS INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Iiai.iriririe1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101540
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
3/28/2018 366315 2018 CARMELFEST FIREWORKS
MELROSE PYROTECHNICS INC Community Relations
VENDOR 1 KINGSBURY INDUSTRIAL PARK SHIP 1 Civic Square
PO BOX 302 TO Carmel, IN 46032-
KINGSBURG, IN 46345-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
24553
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1203 Fund: 101 General Fund
Account: 43-590.03
1 Each FIREWORKS CARMELFEST 2018 $25,000.00 $25,000.00
Sub Total $25,000.00
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Send Invoice To:
Community RelationsPit
1 Civic Square r
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $25,000.00
SHIPPING INSTRUCTIONS 'A/P 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 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 c�
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 -��1l�.w�cO� 1C1 . ��Q�cPL � — ' - `/�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY 1`�
Nancy Heck James Crider
TITLE Director Administratio
pt
CONTROL NO. 101540 CLERK-TREASURER