101715 GRIDLOCK TRAFFIC SYSTEMS INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101715
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
6/7/2018 358209 2018 Striping
GRIDLOCK TRAFFIC SYSTEMS INC Street Department
VENDOR 6400 MASSACHUSETTS AVE SHIP 3400 W. 131st Street
TO Carmel,IN 46074-
INDIANAPOLIS, IN 46226- (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
26542
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 43-503.00
1 Each Striping $92,440.47 $92,440.47
Sub Total $92,440.47
oe'',''''',1; ''';., ::,'' 'i'''''''''''';R''' ',#,,;\
su
k
i. a
f-
c
s
Send Invoice To: ,'':, k .; : .6..K. ; Y„
Street Department
a
3400 W. 131st Street '—'
Carmel, IN 46074- � -�,
---,7-:,,_,,:....,,,,----
.tea ,_, ,,,
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT 1 PROJECT ACCOUNT A AMOUNT
PAYMENT $92,440.47
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
/�C`�jj��nem `%f `—~�' Q
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Dave Huffman James Crider
TITLE Director Administration\\./- `
CONTROL NO. 101715 CLERK-TREASURER