101936 BRENTPOINT LLC INDIANA RETAIL TAX EXEMPT Page 1 of 1
('iCity of Cairrrie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101936
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AP
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
9/11/2018 372780
BRENTPOINT LLC Redevelopment Commission
VENDOR 792 BRENTWOOD POINT SHIP 30 W Main.Street,Suite 220
TO Carmel, IN 46032-
NAPLES, FL 34110- Micheal Lee (317)571-2788
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
29168
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 902 Fund: 902 Carmel Redevelopment Fund
Account: 43-419.00
1 Each Stainless steel sink $6,589.30 $6,589.30
Sub Total $6,589.30
\
1 °
3 3
� b
R t
fi f[ 2 3 S 2 3.off
Send Invoice To: \ „
Redevelopment Commission
/Michael Lee
c.
30 W Main Street,Suite 220 ,
Carmel,IN 46032-
(317)571-2788 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT 1 PROJECT ACCOUNT AMOUNT
PAYMENT $6,589.30
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 --- - -
Henry Mestetsky Henry Mestetsky
TITLE
CONTROL NO. 101936 CLERK-TREASURER