102297 AMAZON CAPITAL SERVICES INDIANA RETAIL TAX EXEMPT Page 1 of 1
IIitCity of i2Irr1nie]1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102297
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
12/10/2018 371592 TV Antenna
AMAZON CAPITAL SERVICES ICS
VENDOR PO BOX 035184 SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
SEATTLE,WA 98124--5184 Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31863
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 42-390.13
1 Each Tv Antenna $27.95 $27.95
Sub Total $27.95
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Send Invoice To: ,, b �..y�. :... . �..:, H
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ICS
Timothy Renick
31 1st Avenue N.W. yK
e
Carmel, IN 46032- ,
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT V PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $27.95
SHIPPING INSTRUCTIONS 'NPVOUCHER 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 X6j' i
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 .-'
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick C
TITLE Director
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CONTROL NO. 102297 CLERK-TREASURER �`