27701 Chapman Electric Supply IncCi
of Carmel.
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT •
35- 60000972
PAGE
PURCHASE ORDER NUMBER
27701
THIS NUMBER MUST APPEAR ON INVOICES, A+P
VOUCHER, DELIVERY MEMO. PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
711212012
Chapman Electric Supply, Inc.
VENDOR
1500 Westfield Rd
Noblesville, IN 46062
SHIP
TO
Carmel Communication Center
31 1st Ave NW
Carmel, IN 46032
(317) 571 -2566
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS .
FREIGHT
UNIT OF MEASURE
QUANTITY
Account 43- 509.00
4 Each 5 Channel linear cable ramp yellow
2 Each 5 Channel end cap set
1 Each 2001t Fiberglass Fish tape
1 Each shipping
DESCRIPTION
UNIT PRICE
EXTENSION
COL31104
COL31107
KLE56014
Send Invoice To:
Carmel Communication Center .
31 1st Ave NW
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
5225.00
$130,00
$295.00
$140.00
Sub Total:
$900.00
$260.00
$298.00
$140.00
$1,598.00
DEPARTMENT
ACCOUNT
PROJECT
Communications
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THEHETO.
DOCUMENT CONTROL NO. 27701
PROJECT ACCOUNT
PAYMENT
• ASP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
NUMBER 15 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVR ATTACHED.
I HEREBY CERTIFY THAT THERE IS AN UNORLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
AMOUNT
$1;586.uu
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
47,,,oda