30641 Barco City f C mil 1 e l CERT 0 TAX EXEMPT
002 0 I 1 pURCHASE ORDER NUMBER C IIIVVViSi..S FEDERAL EXCISE TAX EXEMPT 30641
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP
CARMEL, INDIANA 46032 -2504 VOUCHER, DELIVERY MEMO. PACKING SOPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
04/05/12 MC00685 ();),',),a5 I Message Centers Bjiik�ke��Racks
Barco Carmel Clay Parks &�cie tio l� ...Jr
VENDOR
p 0. 50-A 4550-7 SHIP Maintenance Office A 0
R J 5 20
LiI)tC� t I NIE �BI TO 1427 E. 116th Street
Carmel, IN 46032
$Y.
CONRIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
15 EA Park -It Bike Racks Surface -mount powdered coated $92.58 $1,388.70
black
2 EA Mini Message Center Single Sided with In Ground $336.51 $673.02
Post Brown
1 EA Shipping Cost $291.58 $291.58
4-5 -I2
Pinot, eneurnber
(��Iy{'��o�r ti �l 5LJ 1p 8'
Send Invoice To: ce' tau
a P y
$2,x.5S 30
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
vJ l L41 PAYMENT
1215 -4B ntral Park AR' VOUCHER CANNOT BE APPROV'D FOR PAYMENT UNLESS THE P.O
106- 5023990 -Other Expenses $548.68 NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER IIAS THE PROPER SWORD AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY THAT THERE I5 /N UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT D PAY FOR THE ABOVE ORDER.
GOD. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Michael Klitzin DK i �Y t J `I 1:.) 1 i
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED W COMPLIANCE WITH CHAPTER 99, ACTS 1545 TITLE �.9
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO 1
DOCUMENT CONTROL NO. 30641
CLERK V ENDOR C OP Y