37690 Gempler's INDIANA RETAIL TAX EXEMPT (PAGE 1
•
ity 0 f Car e CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 37690
35-60000972
.e.RHE I0Luiie ASX: L:r THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY MEMO.PACKING INGSLIPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED MY STATE BOARD OF ACCOUNTS FOR CRY OF CARMEL-1977
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
10114.12014 10113114 3122 o03 c'33 38 extendable loppers for sta{t
Gemplegs Parks Maintenance
P O Box 5176 1427 E. 116th Street ATTN: Courtney
VENDOR Janesville,WI 53547-5176 ToIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT IEREIS FREIGHT
RUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
3.000 each 167946-Structron Lopper Bypass w!Telescoping Handles $77.0000 $231.00
1.000 each Shipping $26.5000 $26.50
GLACCOunt# 1125401-4238000
Send Invoice To:
$257.50
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT 1 PROJECT PROJECT ACCOUNT l AMOUNT
PAYMENT
A!P 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 1S AN UNOELIGATEG BALANCE IN THIS APPROPRIATION
• 51111'REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDEN.
. C O 0 SHIPMENTS CANNOT BE ACCEPTED, �
• PURCHASE ORDER NUIMBERMUS1 APPEAR ON ALL SHIPPING LABELS. ORDERED BY Courtney Weintraut 'L4 41` fD WI/cif
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPIEP 99,ACES 1995 S!
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT 1 HERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 37690 VENDOR COPY