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INDIANA RETAIL TAX EXEMPT PAGE 1
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CERTIFICATE NO.003120155 002 0
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PURCHASE ORDER NUMBER
II.. I, FEDERAL EXCISE TAX EXEMPT
54834
35-60000972
ONE CIVIC SQUARE
(CARMEL, INal.11IIA„N „„ O 32-2 5,8,4 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
9/22/2020 09/16/20 24088 374334 Replacement Batteries for LED solar stop signs
Solar Traffic Systems, Inc. Parks Maintenance
16135 New Ave Suite#2 1427 E. 116th Street ATTN: Courtney
VENDOR Lemont, IL 60439 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
5.000 each Replacement double battery pack 6V Labeled "SigmasTek SP6 $83.000 $415.00
-9HR" (6V9AH/T2)Shipping included
GLAccount# 1125416-4238900
Send Invoice To:
$415.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 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 Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 54834 Il,,,;;;III DOR COPY