101177 SHIEL SEXTON COMPANY, INC C��y ®� �ZII1ar]rIrJie1 INDIANA RETAIL TAX EXEMPT Page 1 of 1.ILL. 1(�/\ ...._.
CFEDERALTEXC SE TAX EXEMPTO PURCHA�S®ORD��UMBER
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/15/2017 00350969
SHIEL SEXTON COMPANY,INC General Administration
VENDOR 902 N CAPITOL AVE SHIP 1 Civic Square
TO Carmel,IN 46032
INDIANAPOLIS, IN 46204-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21862
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1205 Fund: 101 General Fund
Account: 44-630.00
1 Each Furniture and Fixtures $41,463.25 $41,463.25
Sub Total . $41,463.25
Send Invoice To:
Dept of Administration
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $41,463.25
SHIPPING INSTRUCTIONS *NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. 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
*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 �j 7
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 --ff��G(
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
James Crider James Crider
TITLE Administration Administration
CONTROL NO. 101177 CLERK-TREASURER 1