26406 Melrose Pyrotechnics C1� i f C arme l CERT E 0
NO 031(201(550020 PAGE
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26402
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
5/21/12
Melrose P;ryotechnics, Inc.
VENDOR Attn: Garry R. Poe, Event Producer SHIP City of Carmel
1 Kingsbury Industrial Park To Attn: Nancy Heck, Community Rel.
P. O. Box 302 One Civic Square
Kingsburg, IN 46345 Carmel, IN 46032
CONHBMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Fireworks for CarmelFest 2012 $25,000.00
010 CA4,...,
0
40 74
y r4
1
1
.4 u K
Send Invoice To
1203/4359003 $25,000.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIF HAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI •N UFF ENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. n
C 0 .D. SHIPMENTS CANNOT- n Y BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL 1
SHIPPING LABELS. A l
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE .40t.......1„
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 26406 CLERK-TREASURER R
OFFICE COPY