36833 PUF C • INDIANA RETAIL TAX EXEMPT PAGE 1
E t�� ^ Carmel CERTIFICATE NO 003120155 002 0 PURCHASE ORDER NUMBER
Il 1`Jl C,ill FEDERAL EXCISE TAX EXEMPT 36833
35-60000972
__ ...L..- THIS NUMBER MUST APPEAR ON INVOICES,NP
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
4/7/2014 04/09/14 1022 35$5$-1 Administration office chimney painting/sealing
PUF Parks Maintenance
7130 Sunnyside Rd 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46236 Tp P Carmel, IN 46032
CONFIRMATION If BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Painting/sealing the chimney at the AO office to occur(weather $ 787.00 $ 787.00
permitting) between mid April to mid May. All left over
paint/sealer to be left with CCPR.
GLACCOUnt# 1125402-4350100
Send Invoice To:
S 787.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT I pAIOUNT
I%I'S- +}350100
.T'tip f'i.r+T TIT(.4— 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
SHIPPING INSTRUCTIONS APR - A AFFIDAVIT ATTACHED.
IY - I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID, DT�O SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O D SHIPMENTS CANNOT BE ACCEPTED. L y ; I
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. • ERED BY Courtney Schlaegel 00(c..k f� r(/r//i`-i
1p -f ti
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
• AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36833 VLIJi;n;"On;