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HomeMy WebLinkAbout26748 Burtner Electric INDIANA RETAIL TAX EXEMPT PAGE L1 Of:,C arme1 CERTIFICATE NO.003120155 002 0 `v PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 26748 35-60000972 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 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 1/22/2013 Burtner Electric City of Carmel DOR 787 N. 10th Street SHIP VEN Community Relations Dept. Noblesville, IN TO One Civic Square Carmel, IN 46032 coNFiRMATioN BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Electrical, set-up for Holiday on the Square 2013 $1 ,440.00 , '01 0 s:..„.„,, i ,<":„.„..1 .. .�� 441 klikl' ° .°• ''''''''' )-N, zR / ... \tiii . 4 a I1.2 ve X> Eel , .." 4. All . w • • . . ' . .07' 0.,„ ©04 _. Send Invoice To: 1203/4359003 $1 ,440. 00 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT • NP 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 CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS A SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. �,,APPROPRIATION I ,. /C•l/FF /yT T PAY •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. Lj/���i iezd /1 " •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY r , �f y/'�,- THIS ORDER R ISSU. ,OAi ����JJJ l.� LL�.f�/u.! Y '�`'"° ` � /ff�J� •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE (� /�� V AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. U DOCUMENT CONTROL NO. 26748 CLERK—TREASURER OFFICE COPY