HomeMy WebLinkAbout55492 SHADOW GRAPHIX INC INDIANA RETAIL TAX EXEMPT PAGE 1
•
CERTIFICATE NO.003120155 002 0 P
SURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 5492
35-60000972
ONE CIVIC SQUARE __..._,,..._.._......
CARMEL,INDIANA 46032-2 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
5/26/2021 05/30/21 25554 City Center Tunnel Graphics
Shadow Graphix, Inc. Administration Office
4703 W. Vermont St. 1411 E. 116th Street
VENDOR Indianapolis, IN 46222 TOIP Carmel, IN 46032
CONFIRMATION BLANKET......... —e .__................................ AY.... _.._......._...... ..m_____.m_...........,....... ...,........., w.�..
: CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE 1 DESCRIPTION I UNIT PRICE EXTENSION
1.000 each Graphics I $ 14,100.000 $ 14,100.00
Gift Fund 853-5023990
Send Invoice To:
$ 14,100.00
PLEASE INVOICE IN DUPLICATE
... ,.... ....., PROJECT ......... PRO ..,.,... ...,,. ..
DEPARTMENT ACCOUNT F T 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 Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Purchasing Administrator
CONTROLLER
DOCUMENT CONTROL NO. 55492 VENDOR COPY