26292 Graco Processing Centerarmel
e 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
THIS NU F1UUST APPEAR ON INVOICES, NP
VOUCHER, DEi ERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
712412012
VENDOR EA Outdoor Services
SHIP
TO
Street Department
3400 W. 139 st Street
362% i\►
Commercial Parkway Carmel. IN 46074
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
6reeniieia,
IN
46140
(317) 733-22001
QUANTITY
UNIT OF MEASURE
DESCRIPTION
Account 0043504.00
1 Each roundabout maintenance
Send Invoice To:
Street Department
3400 W. 131st Street
DEPAii -Fig alt ��. 4b°T4-
UNIT PRICE
EXTENSION
PLEASE INVOICE IN DUPLICATE
$10,450.00
Sub Total:
$10,450.00
$10,450.00
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Carmel Street Department
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 THERETO.
DOCUMENT CONTROL NO. 26290
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY .
PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INyV�OICEANIx�
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED'
I HEREBY CER) Y THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPRO, IAT ON UFFICIENT TO PAY FO THE ABOVE ORDER:
/ V