36874 Southern Aluminum Mfg, Inc (^ INDIANA RETAIL TAX EXEMPT PAGE 1
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1. 1 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 36874
35-60000972
_ _- _,_ •_ _ THIS NUMBER MUST APPEAR ON INVOICES.A/P
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 04/30/14 1115 Founders Park Pavilion Tables
Southern Aluminum Mfg, Inc. Administration Office
#5 Hwy 82 West 1411 E. 116th Street
VENDOR Magnolia, AR 71759 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
30.000 each Alulite Folding Tables (30x72) $267.00 $8,010.00
3.000 each Table Trucks $343.00 $ 1,029.00
1.000 each Shipping Costs $477.00 $477.00
GLAccount# 1060000-5023990
Send Invoice To:
$9,516.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
104) - 502 3c\010 PAYMENT
50^1�g^ • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
/�7 V •
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
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED. /
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Michael Klitzing lt, '(• , '1 Irk 1 Z,1 Lf
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT 1-HERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36874 ' NDC.)Fi