101541 MELROSE PYROTECHNICS INC ity
INDIANA RETAIL TAX EXEMPT Page 1 of 1
ofiiirinnie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
\ FEDERAL EXCISE TAX EXEMPT 101541
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-ROTARY'S PORTION
. 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
24554
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1203 Fund: 854 Community Relations Gift
Account: 43-590.25
1 Each ROTARY SHARE OF CARMELFEST 2018. FIREWORKS $7,500.00 $7,500.00
Sub Total $7,500.00
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Send Invoice To:
Community Relations
1 Civic Square .
Carmel, IN 46032- F,
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $7,500.00
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 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 py " �/��pp
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 -i��l.kn."'cc�,i �. f.�r."k_
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY O
Nancy Heck James Crider 4
TITLE Director Administration/I
CONTROL NO. 101541 CLERK-TREASURER [/,�1