101313 VIVE EXTERIOR DESIGN INDIANA RETAIL TAX EXEMPT Page 1 of 1
II itCity of cIairrnie1CTO PURCHASE ORDER --
FEDERAL EXCISE TAX EXEMPTIo � INUMBER
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
1/23/2018 365802 Palladium&Tarkington
VIVE EXTERIOR DESIGN Street Department
VENDOR 12595 CUMBERLAND ROAD SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
FISHERS,IN 46038- (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22849
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1206 Fund: 101 General Fund
Account: 43-509.00
1 Each Palladium/Tarkington $6,415.00 $6,415.00
Sub Total $6,415.00
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Send Invoice To:
Street Department
3400 W. 131st Street
Carmel, IN 46074-
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT @ PROJECT ACCOUNT AMOUNT
PAYMENT $6,415.00
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 �7
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 / 4._ 1—�„�. �--���%GI
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY r`-71fr
Dave Huffman James Crider
TITLE Director Administration
CONTROL NO. 101313 CLERK-TREASURER N\kiN