37761 Robbins Graphics INDIANA RETAIL TAX EXEMPT PAGE 1
City o f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 37761
35-60000972
ONE CIVIC SQUARE
CARMEL,INDIANA 45032-2584 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
11/5/2014 11/09/14 3360 Monon Greenway Repaving Project Signage
Robbins Graphics/Media Factory MCC-East
481 Gradle Drive 1235 Central Park Drive East
VENDOR Carmel, IN 46032 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
18.000 each 12"w x 18"h Coro-4 mil White Opaque; Overall and 3 Phase $ 13.0000 $234.00
map signs
54.000 each 24"w x 8"h Max Metal 3mm White; Detour left, right, straight $ 10.8333 $ 585.00
arrows
GLAccount# 1125401-4239031
Send Invoice To:
$819.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 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 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 Lindsay Labas J( t"1 f�.�n� ( I/5 h `(/
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 /
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 37761 VENDOR COPY