318683 11/21/17 y w y�pM
�o- F� CITY OF CARMEL, INDIANA VENDOR: 00351542
e ONE CIVIC SQUARE VERDIN COMPANY CHECK AMOUNT: $*******830.00*
:? ?q; CARMEL, INDIANA 46032 PO BOX 632672 CHECK NUMBER: 318683
+ CINCINNATI OH 45263-2672 CHECK DATE: 11/21/17
ETON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4351501 100863 170642 830.00 BUILDING REPAIRS AND
n g -0 < < «
k o m O 2 0 m O
% C)OD 2 n 0 CL C:w # v 0
A ° E # > z x 2 # ?
[ 0 $ o n m
0 q g CA)
O E
< CD k ? / / \ O
k \ q ® # Z 7
k e q
\ CD
CL 0 k
& 3 k w
tm >ƒ q k
\ » k 0
n § # k m X
CL \R
a 3 2
\ > -n O
/ \ \k
§ z
Er
,
$ a % a 9
; E 9 - m m
_ « Sr � a E 0
E n 7 �
F n 0 m
o m 7 & m -n 0
E 0 § 7 § e
(D £ m «
� 2
\ k ƒ k U) : k
M % m . & (D
a E
C- i $ ( k )
k 3 m o E a 2
k $ ` CA) R� [ ou
k % k k
w & { - D N)
CD 3
/ ( /
J
ki } q0 i \ J
/� \ j kor
CD
m
CD > /
S' 2 ) & E
-n < a ® 0 ca
C/ k 00 ƒ k
aE N ® f t
{g CD � 32
§ f§ 3 \ (nA
_ § 0 >
9ƒ /
®ƒ ƒ ( / (
)o ( & o E o D
o)2: >
=r0 /
D
= k 0 $
n / m 0 0 E � c
* Q k % ] / \ a C
§ R c ® D
a 2 3 �m / } n
CD Ecn
/ 2 m M \
]
k PD
/ z
CL > k \ §
69k § 7
« 0 .
\ k
® n
The Verdin Company Invoice No. Date
444 Reading Road INVOICE 170642 11/3/2017
Cincinnati,OH 45202
Refer to Invoice Number When
800-543-0488 PLEASE REMIT TO: Remitting
www.verdin.com
BE S&CIACICS The Verdin Company
SINCE 1842 PO Box 630653
Cincinnati,OH 45263-0653
Sold To CITY OF CARMEL i— Ship To CITY OF CARMEL
ONE CIVIC SQUARE 01A OV.`tA ONE CIVIC SQUARE
CARMEL, IN 46032 n CARMEL, IN 46032
kkV gnv%4� cuh �z,ne Vtkt v -
Attn: Attn:
Sales Order Cust No BG# Customer PO Order Date Tax Mark Shipment Terms
0173492-0000 021222 100863 11/3/2017 E To Be Arranged DUEonRCPT
Salesperson Ship Date Shipped Via FOB Point Ins Waybill Number
LANCE FISHER N
Quantity Unit Price Amount
Item T Order BO Ship Part Number/Revision PL Description USD $ USI) $
002 P 2.00 2.00 PREPAID PMA XP PREPAID CALENDAR PMA 2018 415.00 830.00
NOV 14 2017
J
Building Maintenance
Account #
Department # I a6
Total VSD $ 630.00
ORD1 LZBI-000055-068
INDIANA RETAIL TAX EXEMPT v 9
Pa e1of1
C
y� ty
®� Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
ll FEDERAL EXCISE TAX EXEMPT 100863
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,Alp
I VOUCHER,DELIVERY MEMO,PACKING SLIPS,
CARMEL,INDIANA 46032-2584
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
10/31/2017 ! 00351542 j
VERDIN COMPANY General Administration
VENDOR PO BOX 632672 SHIP 1 Civic Square
TO Carmel,IN 46032-
CINCINNATI,OH 45263--2672
PURCHASE ID I BLANKET CONTRACT PAYMENT TERMS FREIGHT
20286
QUANTITY UNIT OF MEASURE l DESCRIPTION UNIT PRICE EXTENSION
Department: 1205 Fund: 101 General Fund
Account: 43-515.01
1 Each Building Repairs and Maint $830.00 $830.00
Sub Total $830.00
f .
1.r
t
S.#• F ,�-
Send Invoice To:
Dept of Administration
1 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $830.00
SHIPPING INSTRUCTIONS Alp 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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL !' ,
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 L !
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
James Crider
TITLE Administration
CONTROL NO. 100863 CLERK-TREASURER