101919 CHEMART COMPANY INDIANA RETAIL TAX EXEMPT Page 1 of 1
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CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
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FEDERAL EXCISE TAX EXEMPT 10191:9
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 Y OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
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PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO:_ VENDOR NO. DESCRIPTION
9/5/2018 371731 2018 CHRISTMAS ORNAMENT PURCHASE
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CHEMART COMPANY Community Relations ��5\
VENDOR 15 NEW ENGLAND WAY SHIP 1 Civic Square
TO ‘A
Carmel,'IN.46032-
LINCOLN, RI 02865-
PURCHASE ID BLANKET CONTRACT
PAYMENT TERMS ' FREIGHT
29061
QUANTITY :: UNIT OF MEASURE. : DESCRIPTION UNIT PRICE EXTENSION
Department 1203 Fund 923 Non-Reverting Fund
Account: 43-590.03
1 Each 2018 CHRISTMAS ORNAMENT-2;000 ORNAMENTS INCL. $22,460.00 $22;460.00
UNIT COST,SHIPPING&HOT STAMP EXPENSES.
Sub Total $22,460.00
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Send Invoice To: - ~$ �, I4 `; * `,
Community Relations
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1 Civic Square k ,i` �'s $ .4° a
Caine!, IN 46032- i l
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT. .
PAYMENT $22,460.00
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. 1 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 Q
`THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 / �-'` ( ,Cl , 7 e.� c.4..-0
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY d
Nancy Heck James Crider
TITLE Director Administration
CONTROL NO. .101919 CLERK-TREASURER