102061 CENTURY INDUSTRIES LLC INDIANA RETAIL TAX EXEMPT Page 1 of 1
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of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102061
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
1115/2018 372902 STAGE
CENTURY INDUSTRIES LLC Community Relations
VENDOR 299 PRATHER LANE SHIP 1 Civic Square
PO BOX C TO Carmel, IN 46032-
SELLERSBURG,IN 47172-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
30623
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1203 Fund: 101 General Fund
Account: 43-590.03
1 Each STAGE $149,765.00 $149,765.00
Sub Total $149,765.00
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Send Invoice To: I
Community Relations
1 Civic Square
Carmel,IN 46032-
- PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
• PAYMENT $149,765.00
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. ( �
*THIS E SSUE IN BER MUST APPEAR H ALLSHIPPING
99,ACTS
LABEL f� / Q. 11TAl Li/f -`
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 / � /" 'f"�"�'•-'�!
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Nancy Heck James Cride 4
TITLE Director Administration \
CONTROL NO. 102061 CLERK-TREASURER ` �� L`