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HomeMy WebLinkAbout26617 Workplace Solutions o f• /' v armel INDIANA RETAIL TAX EXEMPT 155 00 PAGE .City 1111 ('�1/ CERTIFICATE NO.003120155 002 0 PURCHASE (ASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT ^/ �J e / I]- 35-60000972 (� `C �C "( • ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP 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 /O 'o?- t.3 u>a 4 l ;r >s - 4js, p1. S-WSItr. VENDOR 9) 7 te.iseuer7 ,4tvoL , Ns2re+ SHIP IV CI of 2J1)“i FT tU4j #, N ikteira TO n IL. civ Ie. co • cd92met, ry 4-i4p32-- CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT x QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE I EXTENSION ' O/ Piee_ CN4e25 itaG3 Marl co i v . • () ,,.� La -• j• � � 1 ' off: '4010Pk, Zen b3/1 #1- S1f 4 • o �S I1g�- b po -•{00 de 1/1/— / fj��Send Invoice To � C e T 1�' f�,� ���.Q�, .�1�f llllj 6\50 • V 0 0 . 5 ©Nt0I✓"c: CAJemtL, T,� a1n032- i4L : 1/30? �l` PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I 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)\JNOBLIGATED BALANCE IN - THIS AggqPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •COD.REPAID. IPM ` y ' . .�,•.ivn�� •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY / {,�/ • PURCHASE ORDER NUMBER MUST APPEAR ON ALL I SHIPPING LABELS. l 'l /___ /.a / ' e •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �+1/Y�'y(,( i AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 26617 CLERK-TREASURER A.P.V.A.P.V DOCUMENT CONTROL NO. COPY-S SIGN AND RETURN TO CLERK'S OFFICE -- ' - -1 Workspace ROPOSAL: 11819 1 S Ph: 260-422-8529 l Fax: 260 422-6815 919 Coliseum Blv l_ Nort4 46805 DATE: 10/02/13 iPROJECT#: 6-111 Wwvv.workspacesolutions. ow - -- 11 PROPOSAL FOR INSTALL AT: J CITY CARMEL CITY CARMEL CIIVICSQUARE - ONECIIVIC ONE SQUARE III i CARMEL, IN 46032 CARMEL, IN 46032 J 0 L I I SALESPERSON VALID THRU Gary McDermid 11/02/13 ;: QTY PRODUCT DESCRIPTION SELL EXTENDED ! II 3 HIWM3 Ignition P1k Mid-bck Pneu Syr. 419. 63 1, 258.89 'I I', tilt Bck Adj Tilt Seat Gld it .A Arm: Height and Width Adj 4 'I .H CASTER: Hard V .M Back: Mesh Back ail $ (3) GRADE: III UPHOLSTERY Ili'! .RI UPH: Stitchery 'II h 10 COLOR: Jet .T FRAME: Black Ii .SB Base: Standard Black 'lI 1 LABOR DELIVERY 50. 00 50.001111 ii jl INSTALLATION TO OCCUR DURING NORMAL BUSINESS HOURS OF 8:00 0 A.M. - 4 :00 P.M. , MONDAY - il FRIDAY. 0 it 11 1,1 . i1 ii 1 11 1 1 '! SUBTOTAL - 1,258.89;! II INSTALL. . . . . : 50.00` ACCEPTED BY 1 11' TOTAL 1, 308. 890