52055 CENTRAL INDIANA HARDWARE INDIANA RETAIL TAX EXEMPT PAGE 1
PURCHASE ORDER NUMBER
CERTIFICATE N0.003120155 002 0
City
I C
at.
L,a FEDERAL EXCISE TAX EXEMPT 52055
35-60000972
owe CIVIC SQUARE
CARMEL,aIDIATI„•^0.12-2c.S4 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
10/16/2018 10/17/18 17919 00352813 Padlock and Cores for Parks Maintenance Inventory and Trail
Counters
Central Indiana Hardware Parks Maintenance
P.O. Box 83030 1427 E. 116th Street ATTN: Courtney
VENDOR Chicago, IL 60691-3010 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
8.000 each Padlock 1/4"x 3/4"hasp keyed to CP1 $67.1000 $536.80
8.000 each padlock 5/16"x 2"hasp keyed to CP1 $67.1000 $536.80
6.000 each CP1 core. Cores only $34.1000 $204.60
1.000 each CP1 CORE REMOVAL/INSTALLATION KEY $3.8500 $3.85
GLAccount#1125401-4238900
Send Invoice To:
$ 1,282.05
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.
▪ 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 Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER \\
DOCUMENT CONTROL NO. 52055 VENDOR COPY \O\
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