100458 ECO-KLINETIC INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cityof CarmelCERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 00458
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS;
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
I
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;PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
5/19/2017 371686
ECO-KLINETIC Street Department
VENDOR 3920 PENDLETON WAY SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
INDIANAPOLIS,IN 46226- (317)733-2001
PURCHASE ID BLANKET i CONTRACT PAYMENT TERMS FREIGHT
15519
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION H
Department: 1206 Fund: 101 General Fund
Account: 43-501.00
1 Each Tarkington Parking Garage LED Retrofit $1,090.40 $1,090.40
Sub Total $1,090.40
Send Invoice To:
Street Department
3400 W. 131st Street
Carmel,IN 46074-
(317)733-2001 PLEASE INVOICE IN DUPLICATE
`_ DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT 1
PAYMENT $1,090.40
SHIPPING INSTRUCTIONS *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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
4..--2-c.--,..-4/1:11-/�!.zee.-t �l
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY �a
Dave Hc
TITLE Director
CONTROL NO. 100458 CLERK-TREASURER