30611 Belson Outdoors, Inc 1 ((.115 f�Jj, J,�, 4- INDIANA RETAIL TAX EXEMPT 'PACE
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CERTIFICATE NO. 003120155002 0 PURCHASE ORDER N'JMEER
�y�, FEDERAL EXCISE TAX EXEMPT 30611
35- 60000972
THIS NUMBER I.'.US T APPEAR ON INVOICES, NP
ONE CIVIC SQUARE VOUCHER, DELIVERY MEMO, PACKING SLIPS,
CAP,ME! INNDIANA A 466D032 -2584 SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED I REQUISITION NO. VENDOR NO. DESCRIPTION
3/29/12 1 N/A Picnic tables benches
Belson Outdoors, Inc. Carmel Clay Parks 4- a a. g it/ m
111 North River Road SHIP 1427 E. 116th Street MAR 3 Z��Z !J
VENDOR North Aurora, IN 60542 TO Carmel, IN 46032 11
CO:umMAVOU BLANKET CONTRACT1 PAYMENT TERMS FREIGHT
QUANTIFY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
3 ea RPD6 6' Picnic table 744.00 2,232.00
Top /Seat: Cedar Frame Black
10 ea #RPD8 8' Picnic table 896.00 8,960.00
Top /Seat Cedar Frame: Black
2 ea #RPD8H 8' Universal Access picnic. table 781.00 1,562.00
Top /SEat: Cedar- Frame Black
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Send Invoice To e 1 1
12,754.00
PLEASE INVOICE IN DUPLICATE
PROJECT PROJECT ACCOUNT AMOUNT
DEPARTMENT ACCOUNT
106 5023990 Other expenses PAYMENT
NP VOUCHER CANNOT BEAPPROVED FOR PAYMENT UNLESS THE P.O
NUMBER IS MADE 1, PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SVIOHT AFFIDAVIT ATTACHED
SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY THAT THERE IS IN UNOELIGATE0 BALANCE IN
THIS APPROPRIATION SUFFICIENT A PAY FOR THE ABOVE ORDER
SHIP REPAID
•C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Michael Klitzing 3,z`1
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS TITLE
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS t945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERE TO
30611 CLERK- TREASURER
DOCUMENT CONTROL NO. VENDOR COPY