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HomeMy WebLinkAbout25943 G H S, Inc INDIANA RETAIL TAX EXEMPT City O PAGE CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 25943 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AP CARMEL, INDIANA 46032 -2584 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 1212012011 GHS, tnc. Cannel Police Department VENDOR SHIP 3 Civic Square 8349 North Washington Street T O Cannel, IN 46032 Sheridan, IN 46069 (317) 5712559 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 436 601.00 40 Each LED 4' lamps $61.76 $2.470.00 1 Each install additional lighting. $3,164.00 $3,164.00 11 Each convert existing IIgMs to LED $40.00 $440.00 j Sub Total: $8,074.00 ki t vot cc i Send invoice To: O Carmel Police Department �1f Attn: Teresa Anderson 3 Civic Square Carmel, IN 48032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. C:2,T2 PAYMENT 86,074.00 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SU FI NT TO PAY FOR THE ABOVE ORDER. C.0.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY A SHIPPING LABELS. tr of Police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2 CLERK TREASURER DOCUMENT CONTROL NO. OFFICE COPY