HomeMy WebLinkAbout33277 American StructurepointCi
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-60000972
PAGE
PURCHASE ORDER NUMBER
33277
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
12/9/2015
VENDOR
American Structure Point, Inc.
7260 Shadeland Station
Indianapolis, IN 46256
SHIP
TO
DOCS Department
1 Civic Square
Carmel, IN 46032
(317) 571-2418
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43-404.00
1 Each Misc. Services
Send Invoice To:
DOCS Department
1 Civic Square
Carmel, IN 46032 -
PLEASE INVOICE IN DUPLICATE
$125,000.00
Sub Total:
$125;000.00
$125,000.00
DEPARTMENT
1192 DOCS
• ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 33277
ORDERED BY
TITLE
CLERK -TREASURER
PAYMENT $125,000.00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER 15 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS TH, PROPER SWORN AFFIDAVIT ATTACHED. -
• I HEREBY CERT I' THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP•.:, :•ate' I ENT TO PAY FO THE, ABOVE ORDER.
Director
A.P.V. COPY - SIGN AND RETURN TO CLERK'S OFFICE