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102314 MIRAZON GROUP INDIANA RETAIL TAX EXEMPT Page 1 of 1 cii .City of IIarinrie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 102314 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 CORRESPONDENCF� 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 365242 Professional services MIRAZON GROUP ICS VENDOR 1640 LYNDON FARM COURT SUITE 102 SHIP 31 1st Avenue N.W. TO Carmel, IN 46032- LOUISVILLE, KY 40223- Timothy Renick (317)571-2576 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 31857 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1115 Fund: 101. General Fund Account: 43-404.00 1 Each Consulting services $15,000.00 $15,000.00 Sub Total $15,000.00 L Send Invoice To: e.a--- , ,___._._... ,...,... ,_� ICS Timothy Renick 31 1st Avenue N.W. Carmel, IN 46032- (317)571-2576 PLEASE INVOICE IN DUPLICATE DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT $15,000.00 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 ( _ 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ! '' - C% - AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Timothy Renick James Crider TITLE Director Administration CONTROL NO. 102314 CLERK-TREASURER