36929 Picnic Furniture CityINDIANA RETAIL TAX EXEMPT PAGE 1
of C �� f � C FEDERAL EXCISE TAX EXEMPT 36929
35-60000972 H
;F-.)= __ 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
5/5/2014 05/07/14 1379 Founders Pavilion Trash Receptcacles
Picnic Furniture Administration Office
2729 E Moody Blvd.#301 P.O. 1411 E. 116th Street
VENDOR Bunnell, FL 32110 TOIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS --�44 - ---- ----- FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE I EXTENSION
6.000 each 35FTSVN -35 gal. Flat Top Trash Can $ 214.95 $ 1,289.70
4.000 each 18RT-1H - 32 gal. Metal Recycling Receptacles $274.95 $ 1,099.80
1.000 each Shipping $200.00 $200.00
GLAccount# 1060000-5023990
Send Invoice To
$2,589.50
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT _ PROJECT PROJECT ACCOUNT I AMOUNT
I0 6 - 50 a3ci _i C , � � PAYMENT - — --HER CANNOT•MAY I L !t 20'A 't PART OFCTHE VOUCHER AND BE APPROVED T O MADE A
EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS f AFFIDAVIT ATTACHED.
- I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID F. . 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 Dawn Koepper l-� . i LI
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,AC1S 1945 1�r�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO, TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36929 \'v:_P,!-"K;;s r"i:•f ti