51569 CENTRAL INDIANA HARDWARE INDIANA RETAIL TAX EXEMPT PAGE 1
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CERTIFICATE NO.003120155 002 0
l� �/y ���I Carmel
PURCHASE ORDER NUMBER
T FEDERAL EXCISE TAX EXEMPT 51569
I 35-60000972
011E CMC SQUARE
CARMEL,RMEL,!i'IC[ i'fn< 032-2SS. 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
6/19/2018 06/17/18 16739 00352813 Replace locks at the North Trailhead restrooms
Central Indiana Hardware Parks Maintenance
P.O. Box 83030 1427 E. 116th Street ATTN: Courtney
VENDOR Chicago, IL 60691-3010 So P Carmel, IN 46032
•
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
2.000 each Deadlock L496BD 626 $239.6900 $479.38
1.000 each Labor and Trip Charge $262.5000 $262.50
GLAccount#1125416-4350100
Send Invoice To:
$741.88
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 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.
• 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 Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
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DOCUMENT CONTROL NO. 51569 VENDOR COPY