50976 ACO/FULCRUM INVESTMENTS CO INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0--City .. Carmel —
FEDERAL EXCISE TAX EXEMPT - PURCHASE ORDER. NUMBER
35.60000972
. ONE CIVIC.SOIJAfE: ...1
, CARMEL;INDIANA 48032=2584 THIS NUMBER MUST APPEAR ON INVOICES,/VP
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 I DATE REQUIRED I REQUISITION NO. VENDOR NO. DESCRIPTION
7_ ewye
2/27/2018 02/27/18 15440 -9 attached} AO Carpet Repairs
1_ i f
ACo/Fulcrum Investments Co. .o-lala Administration Office
1000 3rd Ave.SW Suite 120 1411 E. 116th Street
VENDOR Carmel, IN 46032 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS IFREIGHT
{
1
QUANTITY I UNIT OF MEASURE! DESCRIPTION iUNIT PRICE EXTENSION
1.000 each Labor and Material to Replace AO Hallway Carpet&Paddingi$697.0000 $697.00
GLAccount#1125402-4350100
Send Invoice To:
$697.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT 1 PROJECT ( PROJECT ACCOUNT AMOUNT
PAYMENT
• 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 50976 VENDOR COPY 0 `'
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