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INDIANA RETAIL TAX EXEMPT PALiE 1
CERTIFICATE NO.00S120155 002 0o PURCHASE ORDER NUMBER
City FEDERAL EXCISE TAX EXEMPT 41369
3360000972
ONE CMC SOL�4
CEL,I rW1A 4..a0 THIS NWBER MUST APPEAR ON INVOICES.NP
VOUCHER.ORNERY MEW PACIWOSUPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY OO#MspoNDENCE.
PURCHASE ORDER DATE I DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
4/13/2017 104117/17 112161 364923 Name Badge Supplies
Imprint Plus Administration Office
do Bank of America 9240 Colie 1411 E. 116th Street
VENDOR Chicago,IL 60693 7O Carmel,IN 46032
CONFJtMATION BIANIM CONTRACT PAYMENTTF,RMS FREIOFIT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
150.000 each Badge Plate#007729 $2.9200 $438.00
150.000 each Badge Coverv#007290 $0.4800 $72.00
150.000 each Magnet#000498 $1.4000 $210.00
1.000 each Approximate Shipping $50.0000 $50.00
GLAccount#1125101-4356004
Send Invoke To:
$770.00
PLEASE INVOICE IN DUPLICATE
DEPARTWAW ACCOUNT PMFCf PROJECTACCOUNT AMOUNT
PAMEN
AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER W MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVITATTACHE0.
1 NEARBY CERTIFY THAT THERE IS AM UMOELJOATED BALANCE IN THIS APPROFMNUTION
SHIPREPAID. SUMCIENT TO PAY FOR THE ABOVE ORDER
C.OD SHIPMENTS CANNOT BE ACCEPTED.
'
PURCHASE ORDER NUMBER MUST APPEAR ONALL SHIPPING LABELs ORDERED BY Dawn KOepper
THIS ORDER ISBUEO INOOMFUANC£WmH CHAPTER 99,ACTS 1043
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 41369 V4NC0'z DOPY