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CERTIFICATE NO.003120155 002 0
i N PURCHASE ORDER NUMBER
U FEDERAL EXCISE TAX EXEMPT
55775
35-60000972
ONE CIVIC SQUARE
CA RM E L,IN DIA NA 460 32.-.256,4 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
8/2/2021 08/03/21 26173 371536 Vehicle and Trail Counters
TRAFx Research Ltd. Parks Maintenance
6B Riverston Rd. 1427 E. 116th Street ATTN: Courtney
VENDOR Canmore, Alberta, T1W1J5 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
5.000 each infrared trail counters $490.000 $2,450.00
5.000 each LCD display $ 75.000 $ 375.00
4.000 each vehicle counters $490.000 $ 1,960.00
4.000 each LCD display for vehicle counters $ 75.000 $ 300.00
1.000 each shipping $ 80.000 $ 80.00
GLAccount# 1125101-4341955
Send Invoice To:
$ 5,165.00
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 Michael Allen
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Parks& Natural Resources Director
CONTROLLER
DOCUMENT CONTROL NO. 55775 V N ID 0 IR COIF Y