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CERTIFICATE NO.003120155 002 0
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PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 52564
35-60000972
;i1=C(:'IC SQUARE
..A R`_`=!.'i 13l= 1.= 1C, G-2°' THIS PPEAR ON INVOICES,AJP
VOUCHER BDELIVERYER MUST AMEMO,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
3/18/2019 03/23/19 19159 372201 Blinds for Director's Renovated Office
A Plus Blinds, LLC Administration Office
160 West 44th Street 1411 E. 116th Street
VENDOR Indianapolis, IN 46208 sOHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Graber Roller Shade-Emulation 49503 $451.0000 $451.00
1.000 each Matching Contour Valance $58.0000 $58.00
GLAccount#1125402-4350100
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Send Invoice To:
$509.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUI•IT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• A/P 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 FOR THE ABOVE ORDER.
▪ C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• THISD ORDER ISSUED IN COMPLIANCE A WITH CHAPTERLEM 99,T ACTS O.
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE (`
CLERK-TREASURER HJ i/ \
DOCUMENT CONTROL NO. 52564 VENDOR COPY