37256 BGI FIitness INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
City o Carmel FEDE RAL EXCISE TAX EXEMPT 37256
35-60000972
�.=ti!•SE_.ii I i=I I-- = ._ �':' 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
6/25/2014 06/29/14 2080 3G24014 4 Bicycle for trail inspections
BGI Fitness Parks Maintenance
4340 East 82nd Street 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46250 ToIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
1.000 each Cypress DX5 Giant bicycle-medium- blue $419.00 $419.00
GLAccount# 1125401-4238000
Send Invoice To:
$419.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
125 -- 1-1,2353(D0 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.
. 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 Courtney Schlaegel ` • (' Z(-j (1(1
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 / C.
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 37256 VENDOR COPY