24640 Signal ConstructionCi
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 NU?ABER
24640
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
111612014
-
\mac L+_ �-�..d -N O.\c�- .
VENDOR
Signal Construction
5639 West US 40
Greenfield, IN 46140
SHIP
TO
Cannel Fire Department
2 Cannel Civic Square
Cannel, IN 46032
(317) 5712622
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUA
QUANTITY II UNIT OF/MEASUREI
Account 10- 231:00'
DESCRIPTION
UNIT PRICE
EXTENSION
1 Each Cannel Dr /City Ctr WB Intersection
1 Each Guilford & West Cannel Drive Intersection
1 Each 108th &Towne Intersection
1 Each Carmel Dr & Old Meridian I
Send Invoice To:
Cannel Fire Department
2 Cannel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$1,935.00
$6,100.00
$7,407.00
$1,935.00
Sub Total:
$1,935.00
$6,100.00
$7,407.00
$1,935.00
$17,377.00
DEPARTMENT
Carmel Fire Department
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
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.
24640
DOCUMENT CONTROL NO.
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT $17.37700
• 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 IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION - $EICIENT -TO PAY FOR TH ABOVE ORDER.
1