HomeMy WebLinkAbout53805 BELMONT GRAPHICS LLC INDIANA RETAIL TAX EXEMPT PAGE 1
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CERTIFICATE NO.003120155 002 0
Io c .•alr•n..eI
"'� FEDERAL EXCISE TAX EXEMPT
53805
35-60000972
ONE criic SQUARE
CARMEL,II'ID[AIIA 4r:6032-25S4 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
11/22/2019 11/18/19 21940 367116 Interpretive Signs-Founders Park
Belmont Graphics LLC Parks Maintenance
6529 West 350 South 1427 E. 116th Street ATTN: Courtney
VENDOR Portland, IN 47371 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
4.000 each Interpretive sign fabrication $845.000 $3,380.00
1.000 each Installation $350.000 $350.00
GLAccount#8530000-5023990
Send Invoice To:
$3,730.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 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 Michael Allen
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER c�\1).\\\
DOCUMENT CONTROL NO. 53805 VENDOR COPY V \(1(4