36875 Garage Doors of Indianapolis INDIANA RETAIL TAX EXEMPT PAGE 1
( CERTIFICATE NO003120155 002 0
{i f �h T1 e —E1ity \!!! iii 35-60000972
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
4/23/2014 04/21/14 1147 Maintenance garage door repair
Garage Doors of Indianapolis Parks Maintenance
5041 W 96th St 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46268 7olP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION r— UNIT PRICE EXTENSION
1.000 each Repair of garage doors attached to the maintenance office. $ 275.55 $ 275.55
Both do not work appropriately and one will not shut.
GLAccount#t 1125-4350100
/3
Send Invoice To:
$275.55
PLEASE INVOICE IN DUPLICATE
_--_ DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
t L'2,5- LI- 50100 PAYMENT
• A/P 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.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SI III'REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER,
C-O.D SHIPMENTS CANNOT BE ACCEPTED. �l_
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Courtney Schlaegel c(f?_,)/y
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND AOFS AMENDATORY THEREOF AND SUPPLEMENT THERE TO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36875