51531 CENTRAL INDIANA HARDWARE t,„ i ‘, ‘, - -
INDIANA RETAIL TAX EXEMPT PAGE 1
el
y a‘ ' rm
of PURCHASE ORDER NUMBER
CERTIFICATE NO.003120155 002 0
FEDERAL EXCISE TAX EXEMPT 51531
35-60000972
OWE CMC SQUARE
CARMEL,INDI" I-tom 46032-25'$4 THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER,DELIVERY MEMO,PACKING SUPS,
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
6/8/2018 06/11/18 16686 00352813 24a Replacement
ement partitions for West Park Restroom-fire incident 5
Central Indiana Hardware Parks Maintenance
P.O. Box 83030 1427 E. 116th Street ATTN: Courtney
VENDOR Chicago, IL 60691-3010 TOHIP Carmel, IN 46032
•
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Standard Scranton Stall and privacy screen restroom partitian $ 1,622.0000 $ 1,622.00
for West Park restroom
GLAccount#1125419-4350100
Send Invoice To:
-
$ 1,622.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• A/P 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.
• SHIP REPAID. . I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
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 Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 51531 VENDOR COPY U\