32003 Chisholm ArchitectualCni-y of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
/
PURCHASE ORDER NUMBER
3,2003
THIS NUMBER MUST APPEAR ON INVOICES, AIP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
,A4 bi
VENDOR
Ch'sAo /m ,%rcAi -ere ?Loral 17,M4AVze
34//9 /'oc ie ue/I i2 it
PO. Sox lO to rr,sir
�L Nod,p,u4p o/. S f7j- /o ;Le-
SHIP
TO
CONFIRMATION
BLANKET
CONTRACT
oft (, 'I.OUPAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
y
r,yY1/ / 3
/ /11/750/4) /�/a A050A7 / �/ 1�00�'
3/"7/3 "X //9i/4„
dads
Send Invoice To: Y • So PNr .S
c
,:// o f ( .J
GNe C.U,•C .Swore
(A?rylPIY r,LJ' /LGJZ
' DEPARTMENT
PLEASE INVOICE IN DUPLICATE
ACCOUNT
PROJECT
Su 6 Io /A / 140,1/64.-129-
- L.•+"PROJECT ACCOUNT
124( fg 644gJ
AMOUNT
y3roioo
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. 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. 32003
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
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 AFFIDAVIT ATTACHED.
I HEREBY ERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS AP� IA SUFFICIENLTO PAY FOR THE ABOVE ORDER.
Sheet 1 OF 2
ESTIMATE
Chisholm Architectural Millwork Date August 25, 2014
3419 Roosevelt Ave. Indianapolis, Indiana 46218 P.O. Box 18280
Phone: 317.547.3535 Fax: 317.547.3537
Contractor City of Carmel Attention Jeff Barnes
Job Name
Entry Doors Location Carmel
Check Every Item - Only Materials listed Wit Be Furnished On This Esthnate
Phono
Fax
Quantity
Unit
Description
Untt Price
Extended Price
ENTRY DOOR SLABS
Simpson Mahogany 1 3.4" Door Slabs 34 7/8" x 94 1 /8"
2w5h True Divided Lite with clear insulated tempered glass
One Panel
Door Sweep included
Not Included:
No Installation
No Hardware
No Painting
4
Sub -total
$ 2,166.00
$ 8 664.00
TOTAL
$ 8,664.00
Thank You,
Pat Wood
317 - 710 -6186 (Cell)
317 - 547 -3535 (Office)
MBE Certifiede
VBE Certified
II anal u armed on gib esnm. Peron ..+r most a.6t rne. nd,m5 tnWtdlldy e, bP' boo Ora ma duo wye+
t1.2% pot MIA ad to m^P4d an M aprod balance - Ate has ocoionomx MISS RATE fe%
This wotoaca is good for a Wad alt to earned 30 days a has alt deM pate sales lax ad tee awn.
0.Mtary i waled. to daisy— b Ndkex fooS, floods. N deg, Canna tap", out mNol winding dolor", mNwl Ova 0. meal !apply.
8
THIS DRAWING AND THE INFORMATION CONTAINED HEREIN IS THE PROPRIETARY TO
SIMPSON DOOR COMPANY AND SHALL NOT BE REPRODUCED, COPIED OR DISCLOSED IN
WHOLE OR PART, OR USED FOR MANUFACTURE OR FOR ANY OTHER PURPOSE
WITHOUT THE WRITTEN PERMISSION OF SIMPSON DOOR COMPANY.
Revisions
Trr 7510 2/10.125 x 7/10.125 SLO
Customer Layout
bRAWINb rx,. 098138
Re.. 8
Deacitinen
Dare
by venom
uvoUT 00 I S101E PITS I ;Man, 7009
rectim J. Decker IDATh 08/14/2014
Simpson®