27337 Workspace SolutionsCi
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
027337
THIS NUMBER MUST APPEAR ON INVOICES. NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REOUISITION NO,
VENDOR NO.
DESCRIPTION
71M1,,g4
APP
VENDOR
Work tL �
_ I%+10.0 s
�arf iLL 1-N 805-
SHIP C�,r-nuJ 41 Dart
TO
One. CII/IG vc&"`r2
Car-nevi 4-(9o2 a
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY I UNIT OF MEASURE
DESCRIPTION
1
Send Invoice To:
Co- Act-ih 4 Z - u d3 e 3 Qina -, r
LiOurt room •
PLEASE INVOICE IN DUPLICATE
DEPARTMENT .
/,3v 1
ACCOUNT
X30
SHIPPING INSTRUCTIONS
UNIT PRICE
/ag5.o1
EXTENSION
PROJECT
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT SE 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 THERETO.
DOCUMENT CONTROL NO. 27 337
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PROJECT ACCOUNT I AMOUNT
4/07g%01
PAYMENT
• AIP 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.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
7 f�1v
OAAJ oLi /um
.
Workspace Solutions
Fort Wayne Warsaw
Ph: 260- 422 -85291 Fax.: 260 422 -6815
91.9 Coliseum Blvd. North 46805
www.workspacesolutions.com
PROPOSAL FOR: INSTALL AT:
PROPOSAL: 15953
DATE: 07/25/12
PROJECT#: 6 -111
CITY OF CARMEL
ONE CIVIC SQUARE
CARMEL, IN 46032
SALESPERSON
Gary McDermid
CITY OF CARMEL
2ND FL COURT OFFICE.
ONE CIVIC SQUARE
CARMEL, IN 46032
VALID THRU
08/25/12
QTY PRODUCT DESCRIPTION SELL EXTENDED
1 A{IMGGDNO Acuity
Work, AdjArm,MeshBck,Graph -Grap
h w /Dusk Mesh
.B71 Standard Black Base
.2 Standard cylinder
.H Black Dual -Wheel Hard Caster
$(L) GRD L UPH
.WTH Leather: Al /steel Leather
01 CLR: Black
A Alisteei Leather Armpad Opt
1,239.01 1,239.01
LABOR LABOR 50.00 50.00
INSTALLATION TO OCCUR DURING
NORMAL BUSINESS HOURS OF 8:00
A.M. - 1:00 P.M., MONDAY -
FRIDAY.
ACCEPTED BY
SUBTOTAL
INSTALL
TOTAL
1,239.01
50.00
1. 289.04