103483 PRESTIGE PERFORMANCE City
INDIANA RETAIL TAX EXEMPT Page 1 of 1
of Car e1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
J� FEDERAL EXCISE TAX EXEMPT 103483
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,PJP
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
12/11/2019 00351006
PRESTIGE PERFORMANCE II INC Department of Law
-- VENDOR 326 JOHN STREET SHIP 1 Civic Square
TO
Carmel,IN 46032
CARMEL,IN 46032- Douglas C. Haney (317)571-2472
PURCHASE ID BLANKET CONTRACT' . PAYMENT TERMS FREIGHT
42566
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE :,: EXTENSION
Department: 1180 Fund: 101 General Fund
Account: 43-551.00
1 Each Promotional $194.00. $194.00
Sub Total $194.00
611
J C Y51� 42 Kid 1i«
Send Invoke To: ...t ......
Department of Law : `
Douglas C. Haney
1 Civic Square
Carmel, IN 46032
(317)571-2472 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $194.00
AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS 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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Douglas Haney
TITLE Corporation Counsel
CONTROL NO. 103483 CLERK-TREASURER