101640 BLAKLEY'S ilia�� of / INDIANA RETAIL TAX EXEMPT Page 1 of 1
/` l( Iariririie1 CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER
\�� FEDERAL EXCISE TAX EXEMPT 101640
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
YORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
5/3/2018 362820 New Flooring For Administration Building
BLAKLEY'S Street Department
VENDOR 2184 E 116TH STREET SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
CARMEL,IN (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
25599
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 43-501.00
1 Each Flooring For Administration Building $38,180.00 $38,180.00
Sub Total $38,180.00
,
{
fit..
g1 1 "f
T
Send Invoice To:
Street Department
3400 W. 131st Street
Carmel, IN 46074-
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $38,180.00
SHIPPING INSTRUCTIONS 'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
r'. O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
').JRCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL /�
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 / / /e/ Q! �� cs -47!
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY / +•✓ 'V"Yrl/ _ `
Dave Huffman James Crider �\
TITLE Director Administration<
CONTROL NO. 101640 CLERK-TREASURER