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103570 ARCTIC ZONE LLC City0INDIANA RETAIL TAX EXEMPT Page 1 of 1 of (( ca 1r]n }� e1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER \ �( �,Jl Jl�� J� FEDERAL EXCISE TAX EXEMPT 103570 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL,INDIANA 46032-2554 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 12/18/2019 355765 ARCTIC ZONE LLC Human Resources VENDOR 1040 3RD AVE SW SHIP. 1 Civic Square TO Carmel; IN 46032- CARMEL, IN 46032- PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 42820 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 922 Fund: 922 Ice Rink Fund Account: 43-509.00 1 Each Other Contracted Services $35,278.08. $35,278.08 Sub Total $35,278.08 . .. 4. ;' w W�` S / 1. 1 1 x i i1 A Ir yy C- � t b �t 3 h q. 8 Send Invoice To: '% Human Resources �x ��. 1 Civic Square Carmel, IN 46032- , Q ,!' k - ° ` PLEASE INVOICE IN DUPLICATE DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT PAYMENT $35,278.08 SHIPPING INSTRUCTIONS 'A!P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A 'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN 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 1 3.--t7( ir-4-c' AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY James Crider James Crider TITLE Administration Administration CONTROL NO. 103570 CLERK-TREASURER