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ICTIFICAN0.003120155 002 0o� Ia me ( PURCHASE ORDER NUMBER
City FEDERAL EXCISE TAX EXEMPT 50116
35-80000972
OR.I.CIVIC SOU 411:-..
CARAMEL 9e:41:11A 4!3.K-r..!.°4 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
7/24/2017 07/26/17 13416 367116 Central Park West Commons Rules&Map Signage
Belmont Graphics LLC Parks Maintenance
6529 West 350 South 1427 E. 116th Street ATTN:Courtney
VENDOR Portland,IN 47371 SHISo P Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY 1 UNif OF MEASURE I DESCRIPTION I UNIT PRICE I EXTENSION
1.000 each Central Park West Commons Rules&Map Signage $2,769.0000 $2,769.00
1.000 each Labor to install $150.0000 $150.00
GLAccount#1125401-4239031
Send Invoice To:
$2,919.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT L PROJECT ACCOUNT r AMOUNT
PAYMENT
• AP 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 UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY POR THE ABOVE ORDER.
▪ C.OA SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL STRIPPING LABELS. ORDERED BY Kylie Bradbury
▪ THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS MS
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 50116 V4h.DC COPY