26155 Workspace Solutions City 1 INDIANA RETAIL TAX EXEMPT
GT Carmel CERTIFICATE NO. 03120155 002 0 PAGE
w �1/ tvsli ll li r}'r�' e llwJJ11 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 28155
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP
CARMEL, INDIANA 46032 VOUCHER, DELIVERY 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
5/3/2012
Workspace Solutions Carmel Police Department
VENDOR SHIP 3 Civic Square
919 Coliseum Boulevard TO Cannel, IN 46032
Fart Wayne, IN 48505 (317) 571-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44430.00
1 Each labor $50.00 $50.00
1 Each Mesh Back Task Chair w/UPH Seat MFT9450 $259.00 $259.00
Sub Total: $309.00
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Send Invoice To:
Cannel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT N ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept.' PAYMENT $309.00
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
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 S FF ENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C. 0.0. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE k
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 6 1 5 5 CLERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY