102186 THOMAS BOWER INDIANA RETAIL TAX EXEMPT Page 1 of 1
Ct)r of Carinniel CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102186
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
PURCHA SE ORDER DATE I DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/3/2018 372971
THOMAS BOWER Dept of Community Service
VENDOR 624 EMERSON RD SHIP 1 Civic Square
TO Carmel, IN 46032-
CARMEL, IN 46032-
PURCI ID I BLANKET CONTRACTI PAYMENT TERMS FREIGHT
31519
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 43-590.29
1 Each Façade Grant $3,662.25 $3,662.25
Sub Total $3,662.25
f '3
11
Send Ir.oice To:
Dept or Community Service
1 Civic; Squarev.
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
'CPART`AENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $3,662.25
i?1IPE E" It.iSTRUCTIONS *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 PRE AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
`C.O.D.Si '.T Ci:oJOT SE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
`PURCHA1 IEE UMBER MUST APPEAR ON ALL SHIPPING LABEL
'THIS ORE C!?!.9'LiAPJCE WITH CHAPTER 99,ACTS 1945
\X A
AND ACT;' ""....i '!!' '''OFAND SUPPLEMENT THERETO. ORDERED BY -,
Mike Hollibaugh
TITLE Director
CON .f``. . '102186 CLERK-TREASURER