32385 Workspace SolutionsCi
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
32385
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
10/1/2014
Workspace Solutions
VENDOR 919 Coliseum Boulevard North
Ft. Wayne, IN 46805
SHIP
TO
City of Carmel
Dept. of Community Relations
& Economoc Development
One Civic Square
Carmel, IN 46032
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
2
Send Invoice To:
Motitor Arms
for Nancy Heck and Melanie Lentz
MP2 MFlex for M8 Arms
Bracket for 2'14on± to'r- -s
Black witheaflk `r -'m�4�
8" Straishtitnls�68 "Dt-rai t
8" Straigtit��in�k/8•V••S`flraah
Bolt -Bhlru Mount
12 "H4 of C (Single RowO 1y). (a \)
Std 00mm •4.100mm (also us for— 5mm x 75mm)
4,
ink (2)
k (3)
$265.00 $530.00
A
-A
-4
1203/4230200 $530.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 - ACCOUNT
PROJECT
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 ACCOUNT
AMOUNT
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 CERTIFY THAT THERE I5 AN UNOBLIGATED BALANCE IN
THIS A, RROPPRRIATION SUFFICIENT TOP AY FOR HE ABOVE ORDER.
I ✓VVI
ORDERED BY C'7 6(447(4-
y •
TITLE f, egr'W/WL1.GI "/ '- LGlI%4Go--t0
CLERK- TREASURER
DOCUMENT CONTROL NO. 32385 OFFICE COPY