32023 Burtner Electric Cd INDIANA RETAIL TAX EXEMPT PAGE
1ty of Carmel CERTIFICATE NO 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32023
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.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
6/9/2014
Burtner Electric City of Carmel
VENDOR 787 N. 10th Street SHIP Dept. of Community Relations &
Noblesville, IN 46060 TO Economic Development
One Civic Square
Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Electrical set-up for Holiday on the Square 2014 , $1 ,440 . 00
C „ 6•4 t° • • •d
•
Send Invoice To: „ - - .
1203/4359003 '" $1 ,400 . 00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
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
• SHIP REPAID.
THIS APPROPRIATION UFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.0 D.SHIPMENTS CANNOT BE ACCEPTED. /� �� (f j/�
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY / a "A^—
SHIPPING LABELS.
b•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99 ACTS 1945 TITLE kb.,I
V A Cio/• 414 ' W` d S F` I"'-9 -/l/•
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO:,:.,, rv, I/
CLERK-TREASURER
DOCUMENT CONTROL NO. 320,23f,,1 OFFICE COPY