26274 E A Outdoor Services City QQ,,,,y
of Carmel INDIANA RETAIL TAX EXEMPT PAGE
Cis o arm CERTIFICATE NO. 003120155 002 0
a ya PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
3.
35- 60000972
ONE CIVIC SQUARE THIS NUMBER Mj*fj:AR ON INVOICES, MP
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIAWIL 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
2/27/2012
VENDOR EA Outdoor Services TO IP Street Department
3400 W. 131st Street
3865 N. Commercial Parkway Carmel, IN 46074
CONFIRMATION BLANKET Gieeiilleht IN 46140 PAYMENT TERMS (317) 733 -2001 FREIGHT
OUANTITY UNIT OF MEASURE DESCRIPTION I UNIT PRICE EXTENSION
Account 0043-504.00
1 Each roundabout maintenance $116,123.00 $116,123.00
jjff� -9- -ate Sub Total: $116,123.00
*la *i; 0
Send Invoice To: 1 f� o jil
f� r11! fl J
I
Street Department
3400 W. 131st Street PLEASE INVOICE IN DUPLICATE
DEPARTMENT °ie1 46074- ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
c�
NUMBER I5 MADE A PART OF THE VOUCHER AND EVERY INVOICSAND
i i 16,123.00
Carmel Street Department VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIF THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI/ N SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY .iL yr
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCU CONTROL NO. 2627 4 CLERK-TREASURER
OFFICE COPY