HomeMy WebLinkAbout37953 Fifth Third Bank INDIANA RETAIL TAX EXEMPT PAGE 1
/'''� CERTIFICATE NO.003120155 002 0
City ;�f Carmel PURCHASE ORDER NUMBER
J FEDERAL EXCISE TAX EXEMPT 37953
35-60000972
-- THIS NUMBER MUST APPEAR ON INVOICES.NP
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
117/2015 01/12/15 3888 Display Cabinet
Fifth Third Bank (ltciro OsSp1s) Administration Office
P.O. Box 740523 1411 E. 1 16th Street
VENDOR Cincinnati, OH 45274-0523 SHIP Carmel, IN 46032
CONFIRMATION BLANKET- CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION J UNIT PRICE [ EXTENSION
1.000 each Custom 24"W x 24"D x 48"H Silver Glass to Glass Display with $ 1,575.0000 $ 1,575.00
Levelers and Pull Out Deck
1.000 each Small Reusable Crate for Moving $785.0000 $785.00
1.000 each Freight with Lift Gate $498.3600 $498.36
GLAccount# 1125101-4464000
Send Invoice To:
$2,858.36
PLEASE INVOICE IN DUPLICATE
DEPARTMENT J ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT
• A!P 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLEGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID, SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O 0 SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• TIIIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY TI EREOF AND SUPPLEMENT THERE 10. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 37953
E r LOt Y