37616 J A Saxauer ((( INDIANA RETAIL TAX EXEMPT PAGE 1
C it o f a r m e l CERTIFICATE NO.003120155 002 0
jj"` PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 37616
35-60000972
THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
9/19/2014 09/20/14 2935 Sink repair parts for the 96th ST Monon Trailhead Men's
restroom sink
J A Sexauer Parks Maintenance
P.O. Box 404284 1427 E. 116th Street ATTN: Courtney
VENDOR Atlanta, GA 30384-4284 sCHtP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE [ EXTENSION
1.000 each Acorn Strainer check stop assembly $ 141.2700 $ 141.27
1.000 each Acorn Direct acting assembly $ 115.3100 $ 115.31
GLAccount# 1125416-4237000
Send Invoice To:
$256.58
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• Al.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 Weintraut G � -y� q
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 37616 VENDOR COPY