53175 ASI SIGN SYSTEMS PU
ICHA
Ly
FEDERAL EXCISE TAX EXEMPT 53�75 SE ORDER NUMBER
35-60000972
ONE CIVIC SQUARE
CARMEL.II-SDIANA.4 v'?2-2ES4 THIS NUMBER MUST APPEAR ON INVOICES,A/
VO CHER,DELIVERY MEMO,PACKING SLIPS,
SHI PING LABELS AND ANY CORRESPONDEN(
M APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
:HASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
.019 07/03/19 20533 00353266 Driveway entrance sign for,Jill Perelman Pavilion
ASI Sign Systems Parks Maintenance
2017 West 18th Street 1427 E. 116th Street ATTN: Courtney
DOR Indianapolis, IN 46202 TOHIP Carmel, IN 46032
IRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
)UANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
)0 each Entrance sign per attached quote $6,890.0060 $6,890.00
)0 each Installation $ 985.0000 $ 985.00
GLAccount# 1060000-5023990
1 Invoice To:
$ 7,875.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVITATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLI ATED BALANCE IN THIS APPROPRIATION
IP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
).D SHIPMENTS CANNOT BE ACCEPTED.
RCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Michael Allen
S ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
J ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
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