26413 SSP of Carmel 1 1111 ®f Carmel \l sanel INDIANA RET TAX E PAGE
CERTIFICATE NO. O. 003120155 155 00 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26413
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES. AR
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
2/28/12
SSP_of Carmel City of Carmel
VENDOR 30 N. Range Line Road SHI Community Relations Dept.
Carmel, IN 46032 TO One Civic Square
Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
1
1
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Chocolate- covered pretzels and gift basket for
performers and volunteers at Holiday on the Square 2012 150.00
�l llrr�� l
4
Att
O
'Send Invoice To:
Jai- �r�Jllll�f�
1203/4359003 Festival Community Events 150.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SU ICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. A d i /I B
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. z4
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY O
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 24 (YJJ I�4��I11A' l -C4/4
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. a
2 6 4 1 3 CLERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY