29108 Lester Recreation �,6 INDIANA RETAIL TAX EXEMPT PAGE
y ( � IE CERTIFICATE NO.003120155 002 D PURCHASE ORDER NUMBER
It �Y �S� fir' •`� 1� FEDERAL EXCISE TAX EXEMPT 29108
/ 35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 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
10/25/12 M000845 3(00892 Replacement Playground Parts
Lester Recreation Maintenance RECFTVED
VENDOR-ii I ncn a C . SHIP OCT 2 5 2012
C7C 9J TZ aj L LiCCIq�1, TO BY;
CONFIRMATION_ BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION I UNIT PRICE I EXTENSION
2 EA 1614-H21 - 2' 6" Chime $50.00 $100.00
1 EA 1614-H22 - 2' 4 1/2" Chime $50.00 $50.00
1 EA 1614-H23 - 2' 3" Chime $50.00 $50.00
1 EA 1614-H24 - 2' 2 1/4" Chime $50.00 $50.00
1 EA 1614-H25 - 2' 3/4" Chime $50.00 $50.00
1 EA 1614-H26 - 1' 11 1/4" Chime $50.00 $50.00
1 EA 1614-H27 - 1' 9 3/4" Chime $50.00 $50.00
1 EA 1614-H28 - 1' 9" Chime $50.00 $50.00
Send Invoice To
$450.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT j ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1125-4-11-4237000-Repair Parts PAYMENT
• A/P VOUCHER CANNOT BE APPROVID FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SV,'OFN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS/N UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT 10 PAY FOR THE ABOVE ORDER.
•SHIP REPAID. �/
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. Todd odd Snyder - DK
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY Jam 2 {V�z1�
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS'.945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
29108 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY