HomeMy WebLinkAbout26341 Redlee INDIANA RETAIL TAX EXEMPT
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City a Of C sane l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
\ .. > r yFEDER�ALL EXCISE TAX EXEMPT. , 26341
3560000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA-4,6032-2584 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
6/13/2013
iRedlee Street Department
VENDOR
SHIP 3400 W. 131st Street
11650 N.,Lantern Rd., Suite 115 TO Carmel, IN 46074
Fishers, IN 46037 - (317) 733-2001
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 0043-509.00
1 Each Public Restrooms at Sophia Square $18,500.00 $18,500.00
Sub Total: $18,500.00
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Send Invoice To: �r1
Street Department
3400 W. 131st Street
Carmel, IN 46074-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Street Department PAYMENT
$18,500.00
• 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 CER/YIE FI4.JHEBE IS AN UNOBLIG5TED BALANCE IN
THIS APPROPRIATI t UFFICIENT TO PAY FO HE ABOVE ORDER.
•SHIP REPAID. /'g}",,-
•C.Q.D.SHIPMENTS CANNOT BE ACCEPTED. (�(7
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL . ORDERED BY , \
SHIPPING LABELS. e" ID:ii
- toWC'e--4.—:----
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 26341 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE