51114 OTTO'S PARKING MARKING CO. INDIANA RETAIL TAX EXEMPT PAGE 1
. , CERTIFICATE NO.003120155 002 0
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"� PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 51114
---` 35-60000972
ONE CIVIC SQUARE
CAMEL,,RIDGti,t A 4E032-2c8. THIS NUMBEDR MUST APPEAR ONPAIN OICESGE,NP
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
4/2/2018 04/03/18 15778 00351608 Central Park paint crosswalk and drive lane stripes
Otto's Parking Marking Co. Parks Maintenance
2449 E Main St 1427 E. 116th Street ATTN: Courtney
VENDOR Greenwood, IN 46143 SH P Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each new paint markings $2,186.0000 $2,186.00
1.000 each re-stripe markings $2,251.0000 $2,251.00
1.000 each non-slip-grip paint mix $444.0000 $444.00
GLAccount#1125404-4350400
Send Invoice To:
$4,881.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I 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 UNOBLIGATED BALANCE IN THIS APPROPRIATION
1 `?REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
1 �
_ _±.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Michael Allen 1
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE #0.: 41°
CLERK-TREASURERk \d\''''
DOCUMENT CONTROL NO. 51114 VENDOR COPY