51015 OTTO'S PARKING MARKING CO CERTIFICATE Na0031201552 0 PAGE 1
INDIANA RETAIL TAX EXEMPT }
RTI ATE 00
I
City PURCHASE ORDER NUMBER
Carniel FEDERAL EXCISE TAX EXEMPT w $1015 '
i 3540000972
ONE CWIGSQUARE
'CARMEL,•INDIANA 45032-2E84 THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
i 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. I VENDOR NO. 1 DESCRIPTION
3/6/2018 103/05/18115486 I 00351608 [MCC fire lane and curb striping
Otto's Parking Marking Co. Parks Maintenance
2449 E Main St 1427 E. 116th Street ATTN:Courtney
VENDOR Greenwood, IN 46143 To P Carmel, IN 46032
CONFIRMATION BLANKET i CONTRACT 1 PAYMENT TERMS 1 FREIGHT
i 1
UNIT OF MEASURE DESCRIPTION NIT PRICE I EXTENSION
QUANTITY `
1.000 each blackout existing paint $788.0000 $788.00
1.000 each paint applications $2,315.0000 $2,315.00
GLAccount#1125404-4350400
•
Send Invoice To:
$3,103.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMI=NT
• AM 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 UNOBLIGATED 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 Michael Allen
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE V
CLERK-TREASURER
DOCUMENT CONTROL NO. 51015 VENDOR COPY