26009 Workspace Solutions /y�`., Q¢ of Carmel y� INDIANA RETAIL TAX EXEMPT PAGE
1\ 11 o 1\ rme CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
w u. s Y u tub l 111111 FEDERAL EXCISE TAX EXEMPT 3 Oa
35- 60000972 7
ONE CIVIC SQUARE 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
123,26
4Jc/ Wfl 4 'I& O4l s at ne 0 la f fuwa L
D
91/11 �J /j L[/�.
VENDOR C%��/�y� ^/�n r SHIP H /u/}'e/02.5 I"TT. co- Gy 1 goo /z
FaarAhtvxlg, AJ .y6 Flo r TO ONe c 56 41
a /tizHwz, 71 4469 32-
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 1A c40 Quorec
z
M 0Ou C-A 2 STOM&& UAJ ITS c, A Z70, dc.)
D -u16W 0 7.TS1AKA-&
ja r
fir jli
0 a.
:�J
Send Invoice To
[6r%L 4 Z, 2- 10,0 Z)
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
l x.®.5 Wij 630 PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY
IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATI
F ENT TO PAY F// LRTHF. ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING U
O t
THIS ORDER R ISSUED INCOMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE ,l
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 26009 OFFICE COPY
1
t Workspace Solutions
PROPOSAL: 15048
Fort Wayne Warsaw
DATE: 01/23/12
Ph: 260 422 -8529 Fax: 260 422 -6815
919 Coliseum Blvd. North 46805 PROJECT 6 -111
www.workspacesolutions.com
PROPOSAL FOR: INSTALL AT: II
CITY OF CARMEL CITY OF CARMEL
ONE CIVIC SQUARE ONE CIVIC SQUARE i1
CARMEL, IN 46032 CARMEL, IN 46032 Ij
SALESPERSON VALID THRU
Gary McDermid INDIANA FURNITURE OFFICE FURNITURE 02/23/12
I1QTY PRODUCT DESCRIPTION SELL EXTENDED ''J
fi
U 1 46- 1829MS Modular Storage Unit, 29W x 670.00 670.00
1 4 18D x 25D i I
d
TM Traditional Mahogany 0
II
ML Molding on Left Side Only I1
i1
y 1 46- 1829MS Modular Storage Unit, 29W x 670.00 670.001
18D x 25D If
If TM Traditional Mahogany
11 MR Molding on Right Side Only j!
I
11 1 46- 2060BS Credenza Base for 2 units, 60W 257.00 257.0011
x 20D x 4H 11
1 TM Traditional Mahogany
1 46- 2060TP Credenza Top for 2 units, 60W 353.00 353.0d
x 20D x 1H r
W Wood Veneer Top
TM Traditional Mahogany II
Standard Stain Sheen Finish
1 1 LABOR LABOR 320.00 320.001
1 INSTALLATION TO OCCUR DURING II
NORMAL BUSINESS HOURS OF 8:00
A.M. 4:00 P.M., MONDAY I
FRIDAY.
I
1
i d
IF
I
I!
SUBTOTAL 1,950.00
i1
I, INSTALL 320.00(
I'
11 ACCEPTED BY
II
_TOTAL 2,270.00P
MATE ACC F.PTRO