101866 QUALITY CONCEPTS AWNING ciityr INDIANA RETAIL TAX EXEMPT Page 1 of 1
\��. of ((\IIariririie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
/// FEDERAL EXCISE TAX EXEMPT 101866
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
8/14/2018 365620
QUALITY CONCEPTS AWNINGS Human Resources
VENDOR 4909 E 23RD STREET SHIP 1 Civic.Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46218-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
28500
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1208 Fund: 101 General Fund
Account: 43409.00
1 Each Other Contracted.Services $4,680.00 $4,680.00
Sub Total $4,680.00
4
fi
Send Invoice To: 4 `„
Human Resources
1 Civic Square ,
r Y A✓i aJ F
Carmel,IN 46032-
PLEASE
INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $4,680.00
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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
James Crider `
TITLE Administration V�
CONTROL NO. 101866 CLERK-TREASURER