HomeMy WebLinkAboutSignCraft Industries, Inc./BROOKSHIRE/$12,873.69/Monument SignCzTfshfzHsfdivlijobu21;23bn-Kvo17-3134
DocuSign Envelope ID: CEFE5496-6DF4-4883-B29B-BA4996E2D8A3
Sign Craft Industries, Inc.
Brookshire Golf Course - 2023
Appropriation #1207 0 44-630.00 Capital Lease Fund; 1207 101 44-630.00 Fund; P.O. #s 109740, 109741
Contract Not To Exceed $12,873.69
6. DISCLOSURE AND WARNINGS:
If requested by City, Vendor shall promptly furnish to City, in such form and detail as City may direct, a list of
all chemicals, materials, substances and items used in or during the provision of the Goods and Services
provided hereunder, including the quantity, quality and concentration thereof and any other information relating
thereto. At the time of the delivery of the Goods and Services provided hereunder, Vendor agrees to furnish to
City sufficient written warning and notice (including appropriate labels on containers and packing) of any
hazardous material utilized in or that is a part of the Goods and Services.
7. LIENS:
Vendor shall not cause or permit the filing of any lien on any of City’s property. In the event any such lien is
filed and Vendor fails to remove such lien within ten (10) days after the filing thereof, by payment or bonding,
City shall have the right to pay such lien or obtain such bond, all at Vendor’s sole cost and expense.
8. DEFAULT:
In the event Vendor: (a) repudiates, breaches or defaults under any of the terms or conditions of this
Agreement, including Vendor’s warranties; (b) fails to provide the Goods and Services as specified herein; (c)
fails to make progress so as to endanger timely and proper provision of the Goods and Services and does not
correct such failure or breach within five (5) business days (or such shorter period of time as is commercially
reasonable under the circumstances) after receipt of notice from City specifying such failure or breach; or (d)
becomes insolvent, is placed into receivership, makes a general assignment for the benefit of creditors or
dissolves, each such event constituting an event of default hereunder, City shall have the right to (1) terminate
all or any parts of this Agreement, without liability to Vendor; and (2) exercise all other rights and remedies
available to City at law and/or in equity.
9. INSURANCE AND INDEMNIFICATION:
Vendor shall procure and maintain in full force and effect during the term of this Agreement, with an insurer
licensed to do business in the State of Indiana, such insurance as is necessary for the protection of City and
Vendor from all claims for damages under any workers’ compensation, occupational disease and/or
unemployment compensation act; for bodily injuries including, but not limited to, personal injury, sickness,
disease or death of or to any of Vendor’s agents, officers, employees, contractors and subcontractors; and, for
any injury to or destruction of property, including, but not limited to, any loss of use resulting therefrom. The
coverage amounts shall be no less than those amounts set forth in attached Exhibit C. Vendor shall cause its
insurers to name City as an additional insured on all such insurance policies, shall promptly provide City, upon
request, with copies of all such policies, and shall provide that such insurance policies shall not be canceled
without thirty (30) days prior notice to City. Vendor shall indemnify and hold harmless City from and against
any and all liabilities, claims, demands or expenses (including, but not limited to, reasonable attorney fees) for
injury, death and/or damages to any person or property arising from or in connection with Vendor’s provision
of Goods and Services pursuant to or under this Agreement or Vendor’s use of City property.
Vendor further agrees to indemnify, defend and hold harmless City and its officers, officials, agents and
employees from all claims and suits of whatever type, including, but not limited to, all court costs, attorney fees,
and other expenses, caused by any act or omission of Vendor and/or of any of Vendor’s agents, officers,
employees, contractors or subcontractors in the performance of this Agreement. These indemnification
obligations shall survive the termination of this Agreement.
S:\\Contracts\\Departments\\Golf Course\\2023\\Sign Craft Industries, Inc. Goods and Services.docx:5/11/2023 1:48 PM\]
2
DocuSign Envelope ID: CEFE5496-6DF4-4883-B29B-BA4996E2D8A3
Sign Craft Industries, Inc.
Brookshire Golf Course - 2023
Appropriation #1207 0 44-630.00 Capital Lease Fund; 1207 101 44-630.00 Fund; P.O. #s 109740, 109741
Contract Not To Exceed $12,873.69
10. GOVERNMENT COMPLIANCE:
Vendor agrees to comply with all federal, state and local laws, executive orders, rules, regulations and codes
which may be applicable to Vendor’s performance of its obligations under this Agreement, and all relevant
provisions thereof are incorporated herein by this reference. Vendor agrees to indemnify and hold harmless
City from any loss, damage and/or liability resulting from any such violation of such laws, orders, rules,
regulations and codes. This indemnification obligation shall survive the termination of this Agreement.
11. NONDISCRIMINATION:
Vendor represents and warrants that it and all of its officers, employees, agents, contractors and
subcontractors shall comply with all laws of the United States, the State of Indiana and City prohibiting
discrimination against any employee, applicant for employment or other person in the provision of any Goods
and Services provided by this Agreement with respect to their hire, tenure, terms, conditions and privileges of
employment and any other matter related to their employment or subcontracting, because of race, religion,
color, sex, handicap, national origin, ancestry, age, disabled veteran status and/or Vietnam era veteran status.
12. E-VERIFY:
Pursuant to I.C. § 22-5-1.7 et seq., as the same may be amended from time to time, and as is incorporated
herein by this reference (the “Indiana E-Verify Law”), Vendor is required to enroll in and verify the work eligibility
status of its newly-hired employees using the E-Verify program, and to execute the Affidavit attached herein
as Exhibit D, affirming that it is enrolled and participating in the E-Verify program and does not knowingly
employ unauthorized aliens. In support of the Affidavit, Vendor shall provide the City with documentation
indicating that it has enrolled and is participating in the E-Verify program. Should Vendor subcontract
for the performance of any work under and pursuant to this Agreement, itshall fully comply with the Indiana E-
Verify Law as regards each such subcontractor. Should the Vendor or any subcontractor violate the Indiana
E-Verify law, the City may require a cure of such violation and thereafter, if no timely cure is performed,
terminate this Agreement in accordance with either the provisions hereof or those set forth in the Indiana E-
Verify Law. The requirements of this paragraph shall not apply should the E-Verify program cease to exist.
13. NO IMPLIED WAIVER:
The failure of either party to require performance by the other of any provision of this Agreement shall not affect
the right of such party to require such performance at any time thereafter, nor shall the waiver by any party of
a breach of any provision of this Agreement constitute a waiver of any succeeding breach of the same or any
other provision hereof.
14. NON-ASSIGNMENT:
Vendor shall not assign or pledge this Agreement, whether as collateral for a loan or otherwise, and shall not
delegate its obligations under this Agreement without City’s prior written consent.
15. RELATIONSHIP OF PARTIES:
The relationship of the parties hereto shall be as provided for in this Agreement, and neither Vendor nor any
of its officers, employees, contractors, subcontractors and agents are employees of City. The contract price
set forth herein shall be the full and maximum compensation and monies required of City to be paid to Vendor
under or pursuant to this Agreement.
16. GOVERNING LAW; LAWSUITS:
This Agreement is to be construed in accordance with and governed by the laws of the State of Indiana, except
for its conflict of laws provisions. The parties agree that, in the event a lawsuit is filed hereunder, they waive
their right to a jury trial, agree to file any such lawsuit in an appropriate court in Hamilton County, Indiana only,
and agree that such court is the appropriate venue for and has jurisdiction over same.
S:\\Contracts\\Departments\\Golf Course\\2023\\Sign Craft Industries, Inc. Goods and Services.docx:5/11/2023 1:48 PM\]
3
DocuSign Envelope ID: CEFE5496-6DF4-4883-B29B-BA4996E2D8A3
Sign Craft Industries, Inc.
Brookshire Golf Course - 2023
Appropriation #1207 0 44-630.00 Capital Lease Fund; 1207 101 44-630.00 Fund; P.O. #s 109740, 109741
Contract Not To Exceed $12,873.69
17. SEVERABILITY:
If any term of this Agreement is invalid or unenforceable under any statute, regulation, ordinance, executive
order or other rule of law, such term shall be deemed reformed or deleted, but only to the extent necessary to
comply with same, and the remaining provisions of this Agreement shall remain in full force and effect.
18. NOTICE:
Any notice provided for in this Agreement will be sufficient if itis in writing and is delivered by postage prepaid
U.S. certified mail, return receipt requested, to the party to be notified at the address specified herein:
If to City: City of Carmel AND City of Carmel
Brookshire Golf Course Office of Corporation Counsel
12120 Brookshire Pkwy One Civic Square
Carmel, Indiana 46033 Carmel, Indiana 46032
If to Vendor: Sign Craft Industries, Inc.
8816 Corporation Drive
Indianapolis, Indiana 46256
Notwithstanding the above, notice of termination under paragraph 19 hereinbelow shall be effective if given
orally, as long as written notice is then provided as set forth hereinabove within five (5) business days from the
date of such oral notice.
19. TERMINATION:
19.1 Notwithstanding anything to the contrary contained in this Agreement, City may, upon notice to Vendor,
immediately terminate this Agreement for cause, in the event of a default hereunder by Vendor and/or
ifsufficient funds are not appropriated or encumbered to pay for the Goods and Services to be provided
hereunder. In the event of such termination, Vendor shall be entitled to receive only payment for the
undisputed invoice amount representing conforming Goods and Services delivered as of the date of
termination, except that such payment amount shall not exceed the Estimate amount in effect at the
time of termination, unless the parties have previously agreed in writing to a greater amount.
19.2 City may terminate this Agreement at any time upon thirty (30) days prior notice to Vendor. In the
event of such termination, Vendor shall be entitled to receive only payment for the undisputed invoice
amount of conforming Goods and Services delivered as of the date of termination, except that such
payment amount shall not exceed the Estimate amount in effect at the time of termination, unless the
parties have previously agreed in writing to a greater amount.
19.3 The City may terminate this Agreement pursuant to Paragraph 11 hereof, as appropriate.
20. REPRESENTATIONS AND WARRANTIES
The parties represent and warrant that they are authorized to enter into this Agreement and that the persons
executing this Agreement have the authority to bind the party which they represent.
21. ADDITIONAL GOODS AND SERVICES
Vendor understands and agrees that City may, from time to time, request Vendor to provide additional goods
and services to City. When City desires additional goods and services from Vendor, the City shall notify Vendor
of such additional goods and services desired, as well as the time frame in which same are to be provided.
Only after City has approved Vendor’s time and cost estimate for the provision of such additional goods and
services, has encumbered sufficient monies to pay for same, and has authorized Vendor, in writing, to provide
S:\\Contracts\\Departments\\Golf Course\\2023\\Sign Craft Industries, Inc. Goods and Services.docx:5/11/2023 1:48 PM\]
4
DocuSign Envelope ID: CEFE5496-6DF4-4883-B29B-BA4996E2D8A3
Sign Craft Industries, Inc.
Brookshire Golf Course - 2023
Appropriation #1207 0 44-630.00 Capital Lease Fund; 1207 101 44-630.00 Fund; P.O. #s 109740, 109741
Contract Not To Exceed $12,873.69
such additional goods and services, shall such goods and services be provided by Vendor to City. A copy of
the City’s authorization documents for the purchase of additional goods and services shall be numbered and
attached hereto in the order in which they are approved by City.
22. TERM
Unless otherwise terminated in accordance with the termination provisions set forth in Paragraph 19
hereinabove, this Agreement shall be in effect from the Effective Date through December 31, 2023 and shall,
on the first day of each January thereafter, automatically renew for a period of one (1) calendar year, unless
otherwise agreed by the parties hereto.
23. HEADINGS
All heading and sections of this Agreement are inserted for convenience only and do not form a part of this
Agreement nor limit, expand or otherwise alter the meaning of any provision hereof.
24. BINDING EFFECT
The parties, and their respective officers, officials, agents, partners, successors, assigns and legal
representatives, are bound to the other with respect to all of the covenants, terms, warranties and obligations
set forth in Agreement.
25. NO THIRD PARTY BENEFICIARIES
This Agreement gives no rights or benefits to anyone other than City and Vendor.
26. DEBARMENT AND SUSPENSION
26.1 The Vendor certifies by entering into this Agreement that neither it nor its principals nor any of its
subcontractors are presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily
excluded from entering into this Agreement by any federal agency or by any department, agency or political
subdivision of the State of Indiana. The term “principal” for purposes of this Agreement means an officer,
director, owner, partner, key employee or other person with primary management or supervisory
responsibilities, or a person who has a critical influence on or substantive control over the operations of the
Vendor.
26.2 The Vendor certifies that it has verified the state and federal suspension and debarment status for all
subcontractors receiving funds under this Agreement and shall be solely responsible for any recoupment,
penalties or costs that might arise from use of a suspended or debarred subcontractor. The Vendor shall
immediately notify the City if any subcontractor becomes debarred or suspended, and shall, at the City’s
request, take all steps required by the City to terminate its contractual relationship with the subcontractor for
work to be performed under this Agreement.
27. IRAN CERTIFICATION
Pursuant to I.C. § 5-22-16.5, the Vendor shall certify that, in signing this Agreement, it does not engage in
investment activities within the Country of Iran.
28. ADVICE OF COUNSEL:
The parties warrant that they have read this Agreement and understand it, have had the opportunity to obtain
legal advice and assistance of counsel throughout the negotiation of this Agreement, and enter into same
freely, voluntarily, and without any duress, undue influence or coercion.
S:\\Contracts\\Departments\\Golf Course\\2023\\Sign Craft Industries, Inc. Goods and Services.docx:5/11/2023 1:48 PM\]
5
DocuSign Envelope ID: CEFE5496-6DF4-4883-B29B-BA4996E2D8A3
DocuSign Envelope ID: CEFE5496-6DF4-4883-B29B-BA4996E2D8A3
6/21/2023
6/21/2023
6/21/2023
6/21/2023
Exhibit A
PROPOSAL
Proposal #:37630
Proposal Date:02/24/23
Customer #:CRM016734
Page:1of 4
SOLD TO: JOB LOCATION:
Brookshire Golf CourseBrookshire Golf Course
12120 Brookshire Parkway12120 Brookshire Parkway
Carmel IN 46033Carmel IN 46033
REQUESTED BY: Bob Higgins
SIGNCRAFT INDUSTRIES (HEREINAFTER CALLED THE "COMPANY") HEREBY PROPOSES TO FURNISH ALL THE MATERIALS ANDPERFORM
ALL THELABOR NECESSARY FOR THE COMPLETION OF:
1 QUOTE #70004$12,623.69$12,623.69
MONUMENTSIGN: Fabricateandinstalldoublesidednon-illuminatedsign
fabricatedofaluminumwith1/2" thicknessPVCcopyasperdrawingno.
0223-0114. DecorativecolumnononeendofthesignwillbeTexturePlusfaux
brickpanels.
1 QUOTE #70056$250.00$250.00
PERMITPROCUREMENT - actualpermitfeesarenotincludedandwillbeaddedto
thefinalinvoiceatcost.
TOTAL PROPOSAL AMOUNT: $12,873.69
TERMS: 50.0% DOWN, BALANCE DUE either AT COMPLETION/10DAYS FROM INVOICE/30DAYS FROM INVOICE Customer Initials______________. All
Credit Card payments will incur a3% surcharge
WARRANTY: ALL PRODUCTS MANUFACTURED BY THECOMPANY AREWARRANTED AGAINST DEFECTIVE PARTS, MATERIALS AND
WORKMANSHIP FORAPERIOD OF TWO YEARS. PRODUCTS SUPPLIED BY VENDORS OTHER THAN THECOMPANY WILL CARRY SAID
VENDORS WARRANTY ON MATERIAL ANDLABOR COSTWILL BE CHARGED AT HOURLY RATES.
THISPRICE DOES NOT INCLUDE ELECTRICAL HOOKUP, PERMITS, ENGINEERING ORTAX UNLESS SPECIFICALLY STATED.
NOTE: THIS PROPOSAL MAY BE WITHDRAWN IFNOT ACCEPTED WITHIN 30DAYS.
CONDITIONS
1.Work will not begin until down payment isreceived, permits are obtained, final designs are approved, and written acceptance
ofthis proposal isreceived.
2.The Company reserves the right torequire awritten contract inlieuofthis proposal for any sale morethan $10,000.
3.Any alterations fromthe above specifications involving extra charges, will beexecuted only upon written orders, and will become
an extra charge over and above the Proposal tobepaidby the buyer.
COMPANY INITIALS _______CUSTOMER INITIALS _______
DocuSign Envelope ID: CEFE5496-6DF4-4883-B29B-BA4996E2D8A3
PROPOSAL
Proposal #:37630
Proposal Date:02/24/23
Customer #:CRM016734
Page:2of 4
4.Buyer isresponsible for supply and payment of allwiring necessary tooperate the display, theprimary wiring circuit to bewithin
five (5) feet ofthe sign installation site and any controls necessary for turning the display on/off.
5.Buyer isresponsible for all required blocking and reinforcement of the building orstructure inthe area where the display isto be
attached.
6.AllRoof and/orwall repairs are thesole responsibility ofthe buyer.
7.Permit/ Procurement fees are not included inthe pricing unless listed separately. All permit variance costs are due attime
incurred.
8.Quote assumes straight time and normal business hours. Variation from this will incur additional costs.
9.Final surveys completed after this quotation could disclose the need for additional time and/orequipment due tounforeseen
conditions which could affect finalpricing.
10.Title tosaidproducts covered inthis Proposal remains with the Company until paidinfull, but after delivery tothe customer,
responsibility for all damage after said delivery shall beassumed bythe buyer and will not affect the rights ofthe Company to
enforce the purchase price then unpaid.
11.The buyer expressly acknowledges the Company’sright tofile anyapplicable lientosecure final payment.
12.Buyer understands that the product purchased under this proposal isunique tothe Buyer and cannot bereused orresold.
Therefore, any attempt by the buyer tocancel this agreement after theexecution shall entitle theCompany to recoup all costs
up tothe date ofthe cancellation.
13.All terms and conditions ofthis agreement shall bebinding upon any successors, assignees, orother legalrepresentatives ofthe
respective parties butno assignment shall be made bythe buyer without the prior written consent by theCompany unless full
payment ofthe total consideration has been made.
14.Any tampering, maintenance, orattempted repairs ofthe display byparties other than the Company shall void the warranty. In
addition, any damage resulting fromadverse weather, fire, flood, earthquake, wind, lightning orother natural disaster isnot
covered by theabove stated warranty.
15.Inno event will the Company beliable toany party including the original buyer for any incidental, special, consequential
damages, loss ofuse, revenue, inconvenience orprofit arising out oforinconnection with the manufacture, sale, delivery,
installation, repair or operation ofany displays other products purchased hereunder.
16.Upon default inthe payment ofany sums herein agreed, Sign Craft Industries may, atits option, declare theentire outstanding
balance fully due and payable without further notice to customer; and when declared, customer agrees to pay all reasonable
costs ofcollection ofsaid balance incurred bythe Company including Attorney’s fees.
17.Any statement made by salesman, dealers, distributors and orCompany representative oragents, unless such statements are in
awritten document signed byan officer ofthe Company, may not berelied upon bythe Buyer andare not part ofthis
agreement.
THIS PROPOSAL DOESNOT BECOME EFFECTIVE UNTIL SIGNED AND DATED BY THECOMPANY.
THEABOVE PRICES, SPECIFICATIONS, AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO
THEWORK ASSPECIFIED. PAYMENT WILL BEMADE AS OUTLINED ABOVE.
SALESPERSON: ________________________________DATE: ___________________
COMPANY INITIALS _______CUSTOMER INITIALS _______
DocuSign Envelope ID: CEFE5496-6DF4-4883-B29B-BA4996E2D8A3
PROPOSAL
Proposal #:37630
Proposal Date:02/24/23
Customer #:CRM016734
Page:3of 4
ACCEPTED BY: _________________________________TITLE: ___________________
SIGNATURE: ___________________________________DATE: ___________________
COMPANY INITIALS _______CUSTOMER INITIALS _______
DocuSign Envelope ID: CEFE5496-6DF4-4883-B29B-BA4996E2D8A3
DEPOSIT INVOICE
Invoice #:DP37630
Inv Date:02/24/23
Customer #: CRM016734
Page:4of 4
SOLD TO: JOB LOCATION:
Brookshire Golf CourseBrookshire Golf Course
12120 Brookshire Parkway12120 Brookshire Parkway
Carmel IN 46033Carmel IN 46033
REQUESTED BY: Bob Higgins
ORDERED BYPO NUMBERSALESPERSONORDER DATEPAYMENT TERMSDUE DATE
Bob Higgins Steve McVicker02/21/2350.0% Due Upon Receipt05/01/23
QTYDESCRIPTIONUNIT PRICETOTAL PRICE
1QUOTE #70004$12,623.69$12,623.69
MONUMENT SIGN: Fabricate and install double sided non-illuminated sign
fabricated of aluminum with 1/2" thickness PVC copy as per drawing no.
0223-0114. Decorative column on one end of the sign will be Texture Plus faux
brick panels.
1QUOTE #70056$250.00$250.00
PERMIT PROCUREMENT - actual permit fees are not included and will be added to
the final invoice at cost.
TOTAL PROPOSAL AMOUNT$12,873.69
FINAL INVOICE AMOUNT MAY VARY UPON COMPLETION ***
PLEASE PAY THIS DEPOSIT AMOUNT:$6,436.85
DocuSign Envelope ID: CEFE5496-6DF4-4883-B29B-BA4996E2D8A3
EXHIBIT B
Invoice
Date:
Name of Company:
Address & Zip:
Telephone No.:
Fax No.:
Project Name:
Invoice No.
Purchase Order No:
Goods Services
Person Providing
Goods/Services
Date
Goods/
Service
Provided
Goods/Services Provided
Describe each good/service
separately and in detail)
Cost Per
Item
Hourly
Rate/
Hours
Worked
Total
GRAND TOTAL
Signature
Printed Name
DocuSign Envelope ID: CEFE5496-6DF4-4883-B29B-BA4996E2D8A3
EXHIBIT C
INSURANCE COVERAGES
Worker’s Compensation & Disability Statutory Limits
Employer’s Liability:
Bodily Injury by Accident/Disease: $100,000 each employee
Bodily Injury by Accident/Disease: $250,000 each accident
Bodily Injury by Accident/Disease: $500,000 policy limit
Property damage, contractual liability,
products-completed operations:
General Aggregate Limit (other than
Products/Completed Operations): $500,000
Products/Completed Operations: $500,000
Personal & Advertising Injury
Policy Limit: $500,000
Each Occurrence Limit: $250,000
Fire Damage (any one fire): $250,000
Medical Expense Limit (any one person): $ 50,000
Comprehensive Auto Liability (owned, hired and non-owned)
Bodily Single Limit: $500,000 each accident
Injury and property damage: $500,000 each accident
Policy Limit: $500,000
Umbrella Excess Liability
Each occurrence and aggregate: $500,000
Maximum deductible: $ 10,000
DocuSign Envelope ID: CEFE5496-6DF4-4883-B29B-BA4996E2D8A3
DocuSign Envelope ID: CEFE5496-6DF4-4883-B29B-BA4996E2D8A3
DocuSign Envelope ID: CEFE5496-6DF4-4883-B29B-BA4996E2D8A3
INDIANA RETAIL TAX EXEMPT
City of CarmeI CERTIFICATE NO.003120155 002 0
FEDERAL EXCISE TAX EXEMPT
ONE CIVIC SQUARE 35-6000972
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO
5111 /2023 356515
SIGN CRAFT IMAGE SOLUTIONS
VENDOR 8816 CORPORATION DR
INDIANAPOLIS, IN 46256 -
PURCHASE ID BLANKET CONTRACT
77511
QUANTITY UNIT OF MEASURE
Department: 1207 Fund: 101 General Fund
Account: 44-630.00
1 Each Building Supplies
Send Invoice To:
Brookshire Golf Course
Page 1 of 1
PURCHASE ORDER NUMBER
109741
1 THIS NUMBER MUST APPEAR ON INVOICES, AIP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
DESCRIPTION
Sign
Brookshire Golf Course
SHIP 12120 Brookshire Pkwy.
TO
Carmel, IN 46033-
317) 846-7431
PAYMENT TERMS FREIGHT
DESCRIPTION UNIT PRICE EXTENSION
4,304.20 $4,304.20
Sub Total $4,304.20
12120 Brookshire Pkwy.
Carmel, IN 46033-
317) 846-7431 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $4,304.20
SHIPPING INSTRUCTIONS
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
SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
C.O.D. SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
p
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Bob Higgins
TITLE General Manager/Superintendent
CONTROL NO. 109741 CONTROLLER
DocuSign Envelope ID: CEFE5496-6DF4-4883-B29B-BA4996E2D8A3