HomeMy WebLinkAbout30177 Burtner Electric l of C sane It INDIANA RETAIL TAX EXEMPT
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j l'� CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 30177
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES. A/P
VOUCHER. DELIVERY MEMO. PACKING SLIPS,
CARMEL, INDIANA 46032 2584 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
11/7/11 M000609 352481 MCC Sign Lights at 111th Street Entrance
Burtner Electric Lighting Maintenance
787 N. IOth Sree4 SHIP
VENDOR NOIsvt Ile '1 N t00(t0 TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION 1 UNIT PRICE EXTENSION
1 EA Cost to supply and install 3 (m15a- g- nfl -t70mh -277) $2,984.50 $2,984.50
fixtures at the sign in the round -a -bout at the 111th
street entrance.
3 N A
1
I
t 6 -.a G 'a Z
t W:
Fa. t 1 _r•
Send Invoice To: i
$2,984.50
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT 1 PROJECT I PROJECT ACCOUNT 1 AMOUNT
1125 -4 -04- 4350000- Equipment Repairs Maint PAYMENT
A/P VOUCHER CANNOT BE APPROViD FOR PAYMENT UNLESS THE P.O.
NUMBER I5 MADE A FART OF THE VBUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS P4 UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT 0 PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Todd Snyder DK U e: //-7///
PURCHASE ORDER NUMBER MUST APPEAR ON ALL °S� OL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
30177 CLERK TREASURER
DOCUMENT CONTROL NO. VENDOR COPY