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TAX EXEMPT
y Carmel 1r I CERTIFICATE NO� X3120155 002 0 I PURCHASE ORDER NUMBER
't���///�[jj jr� L FEDERAL. EXCISE TAX EXEMPT 30285
35- 60000972
IN THIS NUMBER MUST APPEAR ON INVOICES, AIP
ONE CIVIC VOUCHER, DELIVERY MEMO, PACKING SLIPS,
CARMEL, NDIANA A 46032-2584 32 -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
12/15/11 A0000052 3fo Lao 1- Volunteer T -Shirts
Shumsky MCC irl
VENDOR
R. bo x (0340- T O P r 4. Fj S' ?T
LAX ati of fr 45Zlo�J DEC 1 5 2011 I
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE J DESCRIPTION i UNIT PRICE 1 EXTENSION
75 EA Jerzee #29M Small $4.44 $333.00
75 EA Jerzee #29M Medium $4.44 $333.00
75 EA Jerzee #29M Large $4.44 $333.00
75 EA Jerzee #29M Xlarge $4.44 $333.00
25 EA Jerzee #29M XXlarge. $7.12 $178.00
1 EA Set Up charges for 6 colors $150.0 $150.00
Shirt Color Safety. Green
Screen Print front color PMS (547 364) CCPR
Logo t
Screen Print back 4 color Volunteer Logo centered
large on back I
f
Send Invoice To:
$1,660.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT 1 PROJECT ACCOUNT 1 AMOUNT
1125 -2- 4356005- Participant Clothing PAYMENT
AA' VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.C
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORI AFFIDAVIT ATTACHED
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE 15 Al UNDBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT D PAY FOR THE ABOVE ORDER
SHIP REPAID
•C. O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Lindsay Labas DK A p/�
y({?( 17 11 Il
PURCHASE ORDER NUMBER MUST APPEAR CN ALL
SHIPPING LABELS. TITLE
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS '945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
30285 CLERK TREASURER
DOCUMENT CONTROL NO. VENDOR COPY