174058 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 362009 Page 1 of 1
ONE CIVIC SQUARE SOLSTICE SIGN CO
J, CARMEL, INDIANA 46032 20 EXECUTIVE DR STE A CHECK AMOUNT: $1,975.46
CARMEL IN 46032 CHECK NUMBER: 174058
CHECK DATE: 6/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4345001 1421 1,975.46 INTERNAL MATERIALS
Invoice Z Page 1 of 2
Solstice Sign Company Invoice: 1421
20 Executive Dr Suite A
Carmel, IN 46032
ph.: 317 571 -1108
fax:. 317 -571 -1278
email: dano @solsticesigns.com
Description: Brookshire Golf Signs
Customer: Ken Miller ph: (317) 846 -7431 x 8
Brookshire Golf
Salesperson: Dan Oberhart email: kmiller @carmel.in.gov
Product Font Qty Sides Height Width Unit Cost Item Total
1 PVC 3MM 1 1 6 6 $25.00 $25.00
Color: White
Description: Vinyled 3 -mil PVC Sign
Text: Snack Bar
Arrow
2 P P Sandblasted 1 1 16 32 $261.45 $261.45
Color:
Description:
Text: Restrooms
Snack Bar
Bar (all with arrows)
3 P P Sandblasted 1 1 20 48 $593.53 $593.53
Color:
Description:
Text: Driving Range
Ball Machine
Vending
Arrow
4 P P Sandblasted 1 2 16 24 $549.30 $549.30
Color:
Description:
Text: Return Carts Here
5 ALUM 040 3 1 6 30 $32.00 $96.00
Color: White
Description: Vinyled .040" Aluminum
Text: You Must Be 21 To Enter
6 ALUM 040 9 1 6 16 $16.00 $144.00
Color: White
Description: Vinyled .040" Aluminum
Text: Go Slow Over Bridge
ATTN: Ken Miller Payment due upon completion of order.
Brookshire Golf
12120 Brookshire Pkwy
Carmel, IN 46033
Received /Accepted By: I I
Out of this World Quality at a Down to Earth Price
INDIANA RETAIL TAX EXEMPT PAGE r
C i t y of C armel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT /Z
35- 60000972 66
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
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
l��iog lb c,
JJ n SHIP I��
VENDOR i� L ��.11'L /7• TO �fc�.Ga✓�fli2�
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
a
1 �a
r /s)
Send Invoice To:
131 C /�Lb
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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFYjTHAVHERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED., --ti
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 0 q CLERK TREASURER
DOCUMENT CONTROL NO A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.-
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #MTLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
r, bill(s) is (are) true and correct and that the
0 �y54�� 1��`�W materials or services itemized thereon for
which charge is made were ordered and
received except
20 I
Title
Cost distribution ledger classification if s
claim paid motor vehicle highway fund