26290 EA Outdoor ServicesONE 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 NUDQ E�, iMUST APPEAR ON INVOICES, A/P
VOUCHER, eE(VERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
7124/2012
VENDOR EA Outdoor Services
SHIP
TO
Street Department
3400 W. 939 st Street
aR65 N Commercial Parkway Cannel, IN 46074
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
Green,'
sera, IN 446140
(317) 733-Z1
• QUANTITY 1 UNIT OF MEASURE
DESCRIPTION
Account 0043 - 604.00
1 Each roundabout maintenance
Send Invoice To:
Street Department
34001. 131st Street
DEPASRTME$t' I.
74-
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
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INV9ICEAN@.-�
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHE[,',. -II VVUU
1 HEREBY CERJIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPRO. IAT ON UFFICIENT TO PAY FOR THE ABOVE ORDER.