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31871 Techlite C0 � I�y, �y INDIANA RETAIL TAX EXEMPT PAGE i \�/ • i .armel ' 4aeERtEFICATE:NO.003120155 002 0 pURCHASE ORDER NUMBER s. y \��11�.•/// Y FEDERAL EXCISE TAX EXEMPT 31871 • 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES.NP CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. I FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION . 5/1/2014 Techlite Street Department VENDOR SHIP 3400 W. 131st Street 7718 Loma Court TQ Carmel, IN 46074 • Fishers, IN 46038 (317) 733-2001 CONFIRMATION S'+' fbT,S RACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION • Account 0043-509.00 1 Each LED Street Light Refit Kits $77,300.00 $77,300.00 Sub Total: $77,300.00 :R., A A • - ® A *• NIIIIIk ••©9- o Send Invoice To: �� "" �� 1/fl • Street Department 3400 W. 131st Street Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE • DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Street Department PAYMENT $77,300.00 • 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 AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN ('THIS APPROPRIATION,SUFFICIENT TO PAY FOR THE ABOVE ORDER. • SHIP REPAID. - •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY / •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. Ark,r• •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE ( , / 11 `V '1 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. it I CLERK-TREASURER DOCUMENT CONTROL NO. 31871 A.P.V. COPY Y--SIGN SIGN AND RETURN TO CLERK'S OFFICE