101554 RITZ SAFETY Page 1 of 1
INDIANA RETAIL TAX EXEMPT
' City t CarMe1 CERTIFICATE NO.003120155 002 0 ' PURCHASE ORDER NUMBER
® FEDERAL EXCISE TAX EXEMPT 01 554
. 35-6000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL; INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDE k
J
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO, VENDOR NO. :DESCRIPTION /�\2:c",e
4/4/2018 366758 Class 3 T-Shirts
RITZ SAFETY Street Department
VENDOR: 3330 N SHADELAND AVE. : :SHIP 3400 W. 131st Street
TO. Carmel,.IN'46074-::
INDIANAPOLIS, IN 46226--6257 (317)733-2001 •
PURCHASE ID BLANKET CONTRACT ;, ;. . • : . PAYMENT TERMS • :.'. ::- :FREIGHT :I.
24811
QUANTITY :- : : UNIT OF MEASURE: . : : :: . DESCRIPTION. : . : : UNIT PRICE .: : : EXTENSION ::
Department 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 43-560.03
1. Each : Safety T-Shirts : = - . • $11,327.36 $11;327.36
... . . Sub Total. .. $11,327.36. : :
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. Send Invoice To: : -,qty.. �, =.,3.-, - -,,,
: : :Street;Department
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3400 , 131st Street e =
Carmel1, IN 46074- ,,". "
(317)733-2001
PLEASE INVOICE IN DUPLICATE
:. . DEPARTMENT ACCOUNT:. PROJECT PROJECT ACCOUNT AMOUNT.
:PAYMENT $11,327.36: . . .
.•NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS PART OF THE E 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
0.4_,,..;.1.... /.4.4.---zi-f.-1.`THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THRETO. ORDERED BY _
Dave Huffman James Crider
: TITLE _ Director : Administration
CONTROL NO. :101554 CLERK-TREASURER