HomeMy WebLinkAbout52264 ASI SIGN SYSTEMS OILAX EXEMPT I PAGE 1 i CERTIFICATE
03120155 002 0 E ORDER NUMBER _ .___.._. ...._
•• ' .' ., .• : a , . .-arme .
INDIANA RE
PURCHAS
FEDERAL EXCISE TAX EXEMPT 152264
35-60000972
.ONE CNIC:St1UAAE• ......._..__.._..__._............_......__...__...__._.. ..._..._._.... .
I THIS NUMBER MUST APPEAR ON INVOICES,NP I
Cr�R1s1EL,`OtJI+kNA 4fz032 2#84 i VOUCHER,DELIVERY MEMO,PACKING SLIPS,
ISHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE j DATE REQUIRED I REQUISITION NO. I VENDOR NO. I DESCRIPTION. Wµ
1/2/2019 112/23/18 118451 1 00353266 (Mark Westermeier Retirement Large Signage estermeier
ASI Sign Systems MCC-East
2017 West 18th Street 1235 Central Park Drive East
VENDOR Indianapolis,IN 46202 So SHIP Carmel, IN 46032
CONFIRMATION BLANKET i CONTRACT PAYMENT TERMS 1 FREIGHT
QUANTITY 1 UNIT OF MEASURE' DESCRIPTION 1 UNIT PRICE 1 EXTENSION
1.000 each Large Monument(s)Sign Decals with Installation $330.0000 $330.00
GLAccount#1125101-4359000
Send Invoice To:
$330.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNTAMOUNT
_...._..._..........-...._..... ......_._ AMPAYMENT
• NP 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 UNOBUGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Lindsay Labas
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER r`
DOCUMENT CONTROL NO. 52264 VENDOR COPY