101873 MELROSE PYROTECHNICS INC CityINDIANA RETAIL TAX EXEMPT Page 1 of 1
of 'l I2nr]rInie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
� FEDERAL EXCISE TAX EXEMPT 101873
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
8/20/2018 366315
MELROSE PYROTECHNICS INC Common Council
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
28613
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1401 Fund: 101 General Fund
Account: 43-551.00
1 Each JULY 4 FIREWORKS $7,500.00. $7,500.00
Sub Total $7,500.00
,/ m g'
k
I `',, 4 `.
i ka -
p p Y .�», kY x a'
9`a' �' '
Send Invoice To: k. , tt
Common Council \ ,
f` p
iz r
4
k
1 Civic Square N.
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I 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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
TITLE
CONTROL NO. 101873 CLERK-TREASURER