32177 Gordon Flesch Cochi
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ONE CIVIC SQUARE
CARMEL, INDIANA46032 -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
32177
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
9/30/2014
VENDOR
Gordon Flesch, Inc.
P.O. Box 73288
Cleveland, OH 44193 -0002
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7
SHIP
TO
DOCS Department
1 Civic Square
Carmel, IN 46032
(317) 571 -2418
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY I UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43- 530.99
12 Each smart boards
Send Invoice To:
•
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DOCS Department
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$368.28
Sub Total:
$4,419.36
$4,419.36
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
1192 DOCS
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.
DOCUMENT CONTROL NO. 32177
ORDERED BY
TITLE
CLERK - TREASURER
PAYMENT $4,419.36
• 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 A /FF)DAVIT ATTACHED.
• I HFERAEBY CERTIFY THATTHERE IS AN L4 OBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO AY FOR THE ABOVE ORDER.
li
_Director 4X6.71 i < 47
A.P.V: COPY. -SIGN - AND,BETURN TO CLERK'S/OFFICE