102150 OLD TOWN DESIGN GROUP INDIANA RETAIL TAX EXEMPT Page 1 of 1
Chit of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102150
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/26/2018 366545
OLD TOWN DESIGN GROUP Redevelopment Commission
VENDOR 1132 RANGELINE ROAD SHIP 30 W Main Street,Suite 220
TO Carmel, IN 46032-
CARMEL, IN 46032- Micheal Lee (317)571-2788
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31258
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 902 Fund: 902 Carmel Redevelopment Fund
Account: 43-419.00
1 Each Miller Auto Care $46,830.00 $46,830.00
Sub Total $46,830.00
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Send Invoice To: �..��s.. T. .. .4. �: ... .�..
Redevelopment Commission
Michael Lee
30 W Main Street,Suite 220 ,
Carmel, IN 46032-
(317)571-2788 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $46,830.00
'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.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 y`rte Z G L ��■�',`
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BYi
Henry Mestetsky Henry Mestetsk ,
TITLE 0
CONTROL NO. 102150 CLERK-TREASURER