31704 T.M.T ,�•� , ' ;
City O ty O f Carmel INDIANA RETAIL TAX EXEMPT 155 00 PAGE
('�/Jnl I'�/ CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31704
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 '
216/2014
T.M.T. DOCS Department
1 Civic Square
VENDOR SHIP
1719 West 161st Street TO Carmel, IN 46032
Westfield, IN 46074 (317) 571-2418
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
Account 43-504.00
1 Each grounds maintenance $60,000.00 $60,000.00
`r Sub Total: $60,000.00
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Send Invoice To:
DOCS Department
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
DOCS PAYMENT $60,000.00
• 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 APPROPRIATIONSUF&IENTTO pay FOR•THEI ABOVE ORDER.
• SHIP REPAID. /V /A/y / j�
•C.O.D.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY // I
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. (Director-4
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. •
CLERK-TREASURER .
DOCUMENT CONTROL NO. 31704 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE