102272 JEFF PETERCSAK CityINDIANA RETAIL TAX EXEMPT Page 1 of 1
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� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102272
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
12/7/2018 372231 ICE CARVER FOR FESTIVAL OF ICE AT CENTER GREEN 1/11
TO 1/13,2019
JEFF PETERCSAK Community Relations
VENDOR 700 TAMI SUE CT SHIP 1 Civic Square
TO Carmel, IN 46032-
WESTERVILLE, OH 43082—
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31786
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1203 Fund: 101 General Fund
Account: 43-590.03
1 Each ICE CARVER FOR FESTIVAL OF ICE AT CENTER GREEN $1,100.00 $1,100.00
1/11 TO 1/13, 2019
Sub Total $1,100.00
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Send Invoice To: a3
Community Relations ''
1 Civic Square N,,,. #
Carmel, IN 46032- = q �
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $1,100.00
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 p
`THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �i J.
"4,e- L-
ANDACTSAMENDATORYTHEREOFANDSUPPLEMENTTHERETO. ORDERED BY ��
Nancy Heck v
TITLE Director <1\LA\
CONTROL NO. 102272 CLERK-TREASURER