50780 ELECTRO PAINTING & REFURBISHING INDIANA RETAIL TAX EXEMPT PAGE 1
'' . '4 ',. . .a ... . ..arme ,lY CERTIFICATE NO.003120155 002 0
_ _ __ __ PUURCHASE ORDER NUMBER
• FEDERAL EXCISE TAX EXEMPT M� 50780
35.60000972
• ..!ONE cMCSQU.ARE . . ..
CiMECF D14NNA'X6032-2:584 THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELSArID ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. j DESCRIPTION
1/17/2018 01/21/18 15055 362198 Refurbish paint on bike fixtation stands
Electro Painting&Refurbishin Parks Maintenance
• P.O.Box 670932 1427 E. 116th Street ATTN:Courtney
VENDOR Marietta, GA 30066 SHIP Carmel,IN 46032
TO
CONFIRMATION BLANKET T^C•°ONTRACT ^^'^ ^•^•^^^
( i PAYMENT TERMS � � FREIGHT'
QUANTITY I UNIT OF MEASURE DESCRIPTION i UNIT PRICE EXTENSION
3.000 each Labor and material to prep and refurbish bike stands ___$ 125.0000 $375.00
GLAccount#1125401-4350000
Send Invoice To:
$375.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT
AMOUNT
Pam ENT
• MP 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
• SHIP REPAID. • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON AU.SHIPPING LABELS. ORDERED BY Michael Allen
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER \�
DOCUMENT CONTROL NO. 50780 VENDOR COPY `