102143 PLUM CREEK FARMS HOA o INDIANA RETAIL TAX EXEMPT Page 1 of 1
City
®f iirriiie]l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
1yFEDERAL EXCISE TAX EXEMPT 102143
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
I
!PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
I-- —
11/20/2018 372950
PLUM CREEK FARMS HOA INC Dept of Community Service
VENDOR PO BOX 44127 SHIP 1 Civic Square
TO Carmel, IN 46032-
i INDIANAPOLIS, IN 46244-
PURCHASE ID 7 BLANKET CONTRACT PAYMENT TERMS FREIGHT
31232
QUANTITY i UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 43-590.29
1 Each Façade Grant $5,000.00 $5,000.00
Sub Total $5,000.00
SCANNED
N' NOV 21 2018
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Send Invoice To:
Dept of Community Service ;, M�
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1 Civic Square '' " " 1f �'`'
Carmel, IN 46032- . t� ,`, .,„',
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $5,000.00
'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
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.0 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 79";', ‘--e5,- 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY `
Mike Hollibaugh [ �
TITLE Director
CONTROL NO. 102143 CLERK-TREASURER