37902 The Uniform HouseCity of Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PAGE 1
PURCHASE ORDER NUMBER
3'790,2
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
12/9/2014
DATE REQUIRED
12/14/14
REQUISITION NO.
3699
VENDOR NO. I DESCRIPTION
Uniforms for new HR Assistant
Uniform House, The
1927 N. Capitol Avenue
VENDOR Indianapolis, IN 46202
CONFIRMATION
RI ANNE
CON I RACI
PAYMENT 1ERMS
SHIP
TO
Administration Office
1411 E. 116th Street
Carmel, IN 46032
ENEIGHI
QUANTITY
1.000
1.000
Send Invoice To:
UNIT OF MEASURE
each
each
DESCRIPTION
#L520 Women's Polo - S
#040 -007 Women's Cardigan Sweater - Size S
GLAccount# 1125102- 4356004
DEPARTMENT
ACCOUNT
UNIT PRICE I EXTENSION
$ 14.2300 $ 14.23
$ 29.0600 $ 29.06
$ 43.29
PLEASE INVOICE IN DUPLICATE
PROJECT I PROJECT ACCOUNT l AMOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
. O.O. II SHIPMENI S CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LAUEI S.
• 11115 ORDER ISSUED IN COMIN..IANCE WITH CHAPTER 99, ACTS 19,15
AND AC IS AMENDA TORY I HEREOF AND SUPPLEMEN I THERE I 0
DOCUMENT CONTROL NO. 3 -]qe2,
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 IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
SUFFICIENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY Dawn Koepper vgasa. t'i ® �` �Z.\k (14
TITLE
CLERK - TREASURER
iFI C!t i2 :P'r