101315 BLAKLEY'S INDIANA RETAIL TAX EXEMPT Page 1 of 1Cityof Iarirrie1 PURCHASE ORDER NUMBER
CERTIFICATE N0.003120155 002 0 PURCHASE UMBE
FEDERAL EXCISE TAX EXEMPT 101315
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
112312018 362820
BLAKLEY'S General Administration
VENDOR 2184 E 116TH STREET SHIP 1 Civic Square.
TO Carmel, IN 46032-
CARMEL, IN
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22858
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1205 Fund: 101 General Fund
Account: 43-501.00
1 Each Bldg Repairs and Maintenance $3,247.00 $3,247.00
Sub Total $3,247.00
Send Invoice To:
Dept of Administration
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ! ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $3,247.00
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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
James Crider
TITLE Administration
CONTROL NO. 101315 CLERK-TREASURER