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26117 Business Furniture LLC EXEMPT LL� ®f CA Y meJ CERTIFICATE NO. 03120155 002 0 PAGE �a PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 28117 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AP CARMEL, INDIANA46032 -2584 VOUCHER, OEUVERY 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 3127/2012 Business Furniture LLC Cannel Police Department VENDOR SHIP 3 Civic Square TO 8102 Victory Way Carmel, IN 40032 Indianapolis, IN 48278 (317) 571 -2559 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT I QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 44-630.00 8 Each Executive 319 chair TS31902 Steelcase $265.50 $2,124.00 1 Each labor $225.00 $225.00 e f f fel Sub Total: $2,349.00 kb: at o A6 Nil Send Invoice To: -ra f Carmel Police Department J r I Attn: Teresa Anderson 3 Civic Square Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT $2,349.00 NP 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 AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION S E I IENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. CO0. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE lef of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2 6 1 1 7 CLERK TREASURER DOCUMENT CONTROL NO. OFFICE COPY