37391 Belmont GraphicsCity of Carmel
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INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PAGE 1
PURCHASE ORDER NUMBER
37391
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER. DELIVERY MEMO. PACKING SLIPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO VENDOR NO.
DESCRIPTION
7/25/2014
07/26/14
2376
CEIVEID Founders Pavilion Welcome & Rules Signage
Belmont Graphics LLC
6529 West 350 South
VENDOR Portland, IN 47371
SY'
JUL 2'6 2014
SHIP
TO
MCC - East
235 Central Park Drive East
Carmel, IN 46032
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
1.000
Send Invoice To:
UNIT OF MEASURE
each
DESCRIPTION
UNIT PRICE
56 "h x 20 "w (see attached quote from Belmont for more
specifics)
GLAccount# 1215068= 4S2OOOOe-
LOA
0 (, — 502399 cD
PLEASE INVOICE IN DUPLICATE
$ 1,100.0000
EXTENSION
$ 1,100.00
$ 1,100.00
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
loto- soa3990
SHIPPING INSTRUCTIONS
• SHIP REPAID.
. C SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 37391
PAYMENT
• AIP 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.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
SUFFICIENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY
TITLE
CLERK - TREASURER
VENDOR COPY
Lindsay LabaS