26309 Techlite INDIANA RETAIL TAX EXEMPT PAGE.
Carmel
CE City ®� CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26309
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
URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/16/2012 .
Techlite Street Department
VENDOR
-,SHIP 3400 W. 131st Street
7718 Loma Court TO Carmel, IN 46074
- .
Fishers, IN 46038 (317) 733-2001
CONFIRMATION Ste,`/I( $ateSTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account ,
•
25 Each Street light repairs $100.00 $2,500.00
Sub Total: $2,500.00
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Send Invoice To: • --- -„. _ 1 +
JJ
Street Department •
3400 W. 131st Street
Carmel, IN 46074- .
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Street Department PAYMENT $2,500.00
• A/P 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.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID. .
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. \J I-Y1n L ,. OA I n'� n. /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY V Y l�J�_� (,�x A j(( a/��
SHIPPING LABELS. )�+`\(n�`� ' ' 'n I'
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 1--+'Q_9. in I L.A. (,iK Q/lj iI-ii. In -d(';t
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. I” a
26309 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY .