32192 Waymire A.P.S.Ci
(It
rmel
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 NUMBER
32192
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
12/16/2014
Waymire A.P.S., Inc.
VENDOR
820 Chadwick Street
Indianapolis, IN 46225
SHIP
TO
DOCS Department
1 Civic Square
Carmel, IN 46032
(317) 571-2418
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 42- 320.00
1 Each Strobe Lights
Send Invoice To:
DOCS Department
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$1,120.00 $1,120.00
Sub Total: $1,120.00
C ->
c_>
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
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. 32192
ORDERED BY
TITLE
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 BALA CE IN
THIS APPROPRIATION SUFFICIENT TO AY Ft E ABOV ORDER.
�I
(lector 6
t
? AMOUNT
$1,120.00
CLERK - TREASURER
A.P.V. COPY -SIGN AND RETURN TO CLERK'S OFFICE
WAYMIRE A.P.S., INC.
d /b /a THE WAYMIRE GROUP
820 Chadwick Street, Indianapolis, IN 46225
TEL: (317) 634 -4824 FAX: (317) 634 -4833
Warehouse Tel: (317) 631 -7551 / Fax: (317) 631 -7552
BUSINESS HOURS: 8:00 -5:00 MON -FRI CLOSED SAT /SUN
ACCOUNT # CCS53 ESTIMATE # 12220
PO #: QUOTE ONLY
PURCHASED BY:
CARMEL COMMUNITY SERV,CITY 0
ONE CIVIC SQUARE
CARMEL,IN 46032
317 571 -2283
DATE • 12/11/14
Stk /Rel #:
SHIPPED /DELIVERED TO:
CARMEL COMMUNITY SERV,CITY 0
ONE CIVIC SQUARE
CARMEL,IN 46032
317 571 -2283
USE OF PROVIDED EQUIPMENT IN ANY VEHICLE IS THE DRIVER'S RESPONSIBILITY!
DESCRIPTION: QUOTE ONLY.LISA STEWART
VEHICLE: YEAR :
Tag #: MAKE :
MODEL:
WC CAPACITY: WDH CAPACITY: SLS PER: FLTBCMF
GTW: N/A GTW: N/A MECH.. :
TW : N/A TW : N/A WRNTY #:
QTY PART # ITEM DESCRIPTION
MFG SRP COST EA PARTS LABOR TOTAL
16 VTX609C VERTEX LED,WHITE
132.00
70.00 1120.00 1120.00
Time Generated 09:55:56
RECEIVED BY
MERCHANDISE....$ 1120.00
SALES TAX $ 0.00
S &H /COD, ETC$ 0.00
ORDER TOTAL$ 1120.00
** *NOT AN INVOICE * * *DO NOT PAY FROM THIS DOCUMENT ** *PRICING VALID FOR 30 DAYS * **
WAYMIRE A.P.S., INC.
d /b /a THE WAYMIRE GROUP
820 Chadwick Street, Indianapolis, IN 46225
TEL: (317) 634 -4824 FAX: (317) 634 -4833
Warehouse Tel: (317) 631 -7551 / Fax: (317) 631 -7552
BUSINESS HOURS: 8:00 -5:00 MON -FRI CLOSED SAT /SUN
ACCOUNT # CCS53 ESTIMATE # 12221 DATE • 12/11/14
PO #: QUOTE ONLY Stk /Rel #:
PURCHASED BY:
CARMEL COMMUNITY SERV,CITY 0
ONE CIVIC SQUARE
CARMEL,IN 46032
317 571 -2283
SHIPPED /DELIVERED TO:
CARMEL COMMUNITY SERV,CITY 0
ONE CIVIC SQUARE
CARMEL,IN 46032
317 571 -2283
USE OF PROVIDED EQUIPMENT IN ANY VEHICLE IS THE DRIVER'S RESPONSIBILITY!
DESCRIPTION: QUOTE ONLY.LISA STEWART
VEHICLE: YEAR : 2015
Tag #: MAKE : SUBARU
MODEL: FORRESTER
WC CAPACITY: WDH CAPACITY: SLS PER: FLTBCMF
GTW: N/A GTW: N/A MECH.. :
TW : N/A TW : N/A WRNTY #:
QTY PART # ITEM DESCRIPTION
MFG SRP COST EA PARTS LABOR TOTAL
4 VTX609C VERTEX LED,WHITE
1 05.0501 20A LIGHTED ON /OFF SW
1 05X501BRKSINGLE SW.BRKT.
1 ELEC2 ELECTRICAL SUPPLIES
1 LABOR INSTALL EQUIPMENT
132.00
9.54
5.26
68.00
0.00
70.00
6.75
4.00
51.98
280.00 0.00 280.00
6.75 0.00 6.75
4.00 0.00 4.00
51.98 0.00 51.98
350.00 350.00
Time Generated 09:55:57
RECEIVED BY
MERCHANDISE....$ 342.73
LABOR /INSTALL..$ 350.00
SALES TAX $ 0.00
S &H /COD, ETC$ 0.00
ORDER TOTAL$ 692.73
** *NOT AN INVOICE * * *DO NOT PAY FROM THIS DOCUMENT ** *PRICING VALID FOR 30 DAYS * **