101942 BRENTPOINT LLC ity
INDIANA RETAIL TAX EXEMPT Page 1 of 1
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CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
�/ \ FEDERAL EXCISE TAX EXEMPT 101942
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
9/1112018 372780
BRENTPOINT LLC Street Department
VENDOR 792 BRENTWOOD POINT SHIP 3400 W. 131st Street
TO Carmel; IN 46074-
NAPLES,FL 34110- ;(317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
29167
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department:. 1206 Fund: 101 General Fund
Account: 43-509.00
1 Each Stainless Steel Sink $6,589.30. $6,589.30
Sub Total $6,589.30
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Send Invoice To: µ
Street Department .
3400 W. 131st Street
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Carmel, IN 46074- . f .<
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $6,589.30
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 n
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 / /C C�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY vvv .11),/,4164,-,-.-,....-.-1.
Dave Huffman James Crider
TITLE Director Administration
CONTROL NO. 101942 CLERK-TREASURER