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HomeMy WebLinkAbout31406 GHS, Inc. t_ O� ®f C sane I' INDIANA RETAIL TAX EXEMPT PAGE I�►1/.11�t11 1'1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 31408 • 35-60000972 , 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 12/18/2013 GHS, Inc. Carmel Police Department VENDOR 4 SHIP 3 Civic Square TO 8349 North Washington Street Cannel, IN 45032 Sheridan, IN 48089 (317)571-2574 a: CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE - DESCRIPTION UNIT PRICE EXTENSION Account 43.601.00 51 Each convert 2x4 light fixtures to LED lamps $183.50 $8,338.50 Sub Total: $8,338.50 • • • 1 (1k ' ) • lir.`,,, °Q 2? go y Send Invoice To: a_-_. _ 0 r1�11 Cannel Police Department Attn: Pat Young 3 Civic Square Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE • DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT Cannel Police Dept. •-Q PAYMENT . $8,338.50 • • 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 . ERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIAT•, - FICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. /./ •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY / •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. .! •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE / lei of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. DOCUMENT CONTROL NO. 31406 CLERK-TREASURER COPY I