36773 Carmel Glass & Mirror Iit'y INDIANA RETAIL TAX EXEMPT PAGE 1
� CERTIFICATE NO.003120155 002 0
.f C 11 PURCHASE ORDER NUM6ER
FEDERAL EXCISE TAX EXEMPT 36773
35-60000972
,II_E ;_:1L:]_ ,,..E'.:,:-2-2.:7L THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR N0. DESCRIPTION
3/21/2014 03/24/14 892 045015 Replacement lens covers for the Monon Greenway tunnel lights
Carmel Glass& Mirror Inc. Parks Maintenance
500 E 106th Street 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46280 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREICI IT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE I EXTENSION
10.000 each 118" clear tempered pattern#62-8-8 1/8" x 9 1/8" covers for $ 25.00 $ 250.00
Rotary Plaza lights
12.000 each .220 Sign white acrylic, 1 1 118"x 11 118"with holes for 116th $ 30.00 $ 360.00
Tunnel lights
GLAccount# 1125416-4237000
Send Invoice To:
$610.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT 1 PROJECT ACCOUNT AMOUNT
PAYMENT
1 ,y�y� a
] (�P'T I.T ,J • All,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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
MARMA ` 2 1 2014 . I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS NN
S CA OT BE ACCEPTED.
BY:___
ic-
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPIN L . 1"`•:•-RED BY Courtney Schlaegel
'ct,t.jO�_., i.,, 1,7,try
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36773 vm.. ; ')i-r r'i 1_