HomeMy WebLinkAbout101024 WORKSPACE SOLUTIONS City
INDIANA RETAIL TAX EXEMPTPage 1 of 1
of CiIar]rr1e10031201
CERTIFICATE NO. 55 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101024
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/7/2017 364577
WORKSPACE SOLUTIONS Department of Law
VENDOR 2208 PRODUCTION RD SHIP 1 Civic Square
TO Carmel, IN 46032-
FORT WAYNE, IN 46808- Douglas C. Haney (317)571-2472
PURCHASE ID' BLANKET CONTRACT PAYMENT TERMS FREIGHT
21321
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1180. Fund: 101 General Fund
Account: 44-630.00
1 Each Furniture and Fixtures $946.97 $946.97
Sub Total $946.97
4,.,:,,,,-,.5.,' ,
\.
3i
Send Invoice To: :,. ,u �� .. `...:s
Department:of Law
Douglas C.Haney ,,, r
1 Civic Square `«
Carmel, IN 46032=
(317)571-2472 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $946.97
SHIPPING INSTRUCTIONS 'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT
'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER
LESS HASTHE THEP.O.PROPERNUMBER IS MADE A
SWORN
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
ORDERED BY (-
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
Douglas Haney
. 4s.
TITLE Corporation Counsel .\\
CONTROL NO. 101024 CLERK-TREASURER