101211 CARMEL GLASS & MIRROR, INC o INDIANA RETAIL TAX EXEMPT Page 1 of 1
Citi of Iarrrie1PURCHAS. __D
CFEDERAL TEXC SE TAX EXEMPT
O PURCHA1SEoORDEIR�NUMBER
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,'' NP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
IRM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/27/2017 045075
CARMEL GLASS&MIRROR, INC Clerk-Treasurer's Office
VENDOR PO BOX 337 SHIP .1 Civic Square . .
TO Carmel, IN 46032-
CARMEL,IN 46082--0337
PURCHASE ID BLANKET. CONTRACT PAYMENT TERMS FREIGHT
22090
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1701 Fund: 101 General Fund
Account: 44-630.00
1 Each GLASS PROTECTIVE SURFACE FOR CT OFFICE DESK $334.74 $334.74
Sub Total $334.74
SCANNED
DEC 213 2011
Send Invoice To:
Clerk-Treasurer's Office
1 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT ' AMOUNT
PAYMENT $334.74
SHIPPING INSTRUCTIONS `NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
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
).SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
rurcCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL ''
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945aaA/ ei -^^
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY �l
Dianne Walthall
TITLE Director of Financial Reporting \X
CONTROL NO. 10121 1 CLERK-TREASURER