102174 MARK CADE cii it)r
INDIANA RETAIL TAX EXEMPT Page 1 of 1
of Cairrriel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
J FEDERAL EXCISE TAX EXEMPT 102174
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
11/30/2018 372967
MARK CADE Dept of Community Service
VENDOR 12006 EDEN GLEN DR SHIP 1 Civic Square
TO Carmel, IN 46032-
CARMEL, IN 46033-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31405
QUANTITY i UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 43-590.29
1 Each Facade Grant $813.75 $813.75
Sub Total $813.75
,
Send Invoice To:
Dept of Community Service
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ! ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $813.75
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 l / / "fie (-\\(k)
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED.BY
Mike Hollibaugh ‘4\i(
TITLE Director
CONTROL NO. 102174 CLERK-TREASURER