HomeMy WebLinkAbout31602 Bike Fixation City ty of f Carmel INDIANA RETAIL TAX EXEMPT 155 00 PAGE
1nl I'�/ CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT � ) �}
35-60000972 C, / (l
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AT
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
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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1 693 • a?O YS'. 0
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Send Invoice To: 0 C/(y d i- 0nildi.�� tr
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LS 1 Gw1/t( ird mow). eel PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• NP 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 HEREBYjCERTIFY THAT/THERE IS AN UNOBLIGATED BALANCE IN
THIS APP OPRIATION SUFFICIENLTO PAY FOR THE ABOVE ORDER.
• SHIP REPAID. y//�-�, `; ,� q'�/��
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. , / i J��y l-C�1/7i1.c`�•_••• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ,y X� I
SHIPPING LABELU. //`, !�'^ ,�C '`J J, ! \ ,J _
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE lJ/�� `/t•Wrt N \`7\(/.<'n %9V�U/"OY•VLt.,/:
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. '1/
DOCUMENT CONTROL NO. 31602 CLERK-TREASURER
A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
'I1vo ICe
r Bike Fixtation
bile2647 37th Ave.S.Unit 1
Minneapolis,MN 55406 j Invoice M
FIXTATION 12/11/2013 520
612-568-3498 info @bikefixtation.com
www.bikefixtation.com
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Bingo , „tat�. - : r �i r x u r.�;•e
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City of Carmel City of Carmel
Attn: David Littlejohn Street Dept.Warehouse
Dept. of Community Services Attn: David Littlejohn
One Civic Square 3400 W. Main St.
Carmel, IN 46032 Carmel, IN 46704
+.m,RSA.° .f `*,. „ Shipping Status
AL 12/11/2013
b t 4Q m Gode . AO
3 111110 Public Work Stand with tools(BLACK) 695.00 2,085.00T
3 141136 BF High Security Public Bike Pump with gauge 775.00 2,325.00T
Floor Mount
3 111149 Installation Tool Kit 0.00 0.00T
1 Shipping Charges Shipping Charges 0.00 0.00T
Notes: ,^
1. email tracking info.dlittlejohn @carmel.in.gov
2. add shipping cost to Inv`oice'when it'ships
Out-of-state 'pt from sales tax. ' 0.00% 0.00
Cr Cfr ( -1) \\
Total $4,410.00