36924 West ELectric (` INDIANA RETAIL TAX EXEMPT PAGE 1
City �� Carmel ii ci -- CERTIFICATE NO.003120155 002 0 _ PURCHASE ORDER NUMBER
li FEDERAL EXCISE TAX EXEMPT 36924
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
4/30/2014 04/13/14 1066 AO confrence room outlet
West Electric Inc. Parks Maintenance
1320 E 60th St 1427 E. 116th Street ATTN: Courtney
VENDOR Anderson, IN 46013 To P Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE 1 ,EXTENSION
1.000 each Repair-outlet under confrence room table does not work $485.00 $485.00
GLAccount# 1125402-4350100
Send Invoice To:
$485.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I NSOUNr
( i as- 435D ICO 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 AFFIDAVIT ATTACHED_
F '4
APR I� tl t . I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O 0 SHIPMENTS CANNOT BE ACCEPTED. ♦ /
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHI �E-LABELS:-//- '-" - / 7-',�
-
ORDERED BY Courtney SchlaegelTz_y ,�/,dc� ,�;�Y
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945
• AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36924 i i4 OF:COPY