37529 GraybarCarmel Clay
Parks &Recreation
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
37529
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
8/26/2014
08/20/14
2650
Light bulbs for Parks and North campus office buildings
-- 8riuibar
U
VENDOR
SHIP
TO
Parks Maintenance
1427 E. 116th Street ATTN: Courtney
Carmel, IN 46032
CONFIRMATIO
BLANKET
CON TRAC
PAYMENT TERMS
FREIGHT
QUANTITY I UNIT OF MEASURE
DESCRIPTION
1.000 each 25W incandescent candelabra 25pk light bulbs
12.000 each MH50 /U /MED Metal halide light bulbs
12.000 each 65W30 Floodlight light bulbs
GLAccount/t1125401- 4238900
11x5 -
Send Invoice To.
PLEASE INVOICE IN DUPLICATE
UNIT PRICE I EXTENSION
$ 4.8000 $ 4.80
$ 19.0400 $ 228.48
$ 1.4700 $ 17.64
$ 250.92
DEPARTMENT
ACCOUNT
Lk-faSttoc
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.
PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
AIP VOUCHER CANNOT BE APPROVE() 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
DOCUMENT CONTROL NO. 37529 VENDOR COPY
Courtney Weintraut