26408 Burtner Electric C A INDIANA RETAIL TAX EXEMPT PAGE
LL yI' y o f -L rm l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
�x e w a FEDERAL EXCISE TAX EXEMPT 26408
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, ANP
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SUPS,
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
2/28/12
Burtner Electiic SHIP City of Carmel
VENDOR 787 N. 10th Street Community Relations Dept.
Noblesville, IN 46060 TO One Civic Square
Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
Electrical set -up for Holiday on the Qgaaee 2012 $1,440.00
lie 1
Send Invoice To f j 111
1203/4359003 Festival Community Events $1,440.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.C.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFpICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. i'�
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY y l ✓{If fJ//
1 PURCHASE ORDER NUMBER MUST APPEAR ON ALL n
SHIPPING LABELS A w
THIS ORDER DER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE I, /y /•'J 7 T y 1 f. w W w. M1 g
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
26408 C TREASURER
DOCUMENT CONTROL NO. OFFICE COPY