26320 Garage Doors of Indianapolis City ' [ iTAILTAXEMPT PAGE
of C CEF TIFICATE NO.003120155 002 0
. •
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
•ONE CIVIC SQUARE
35 60000972 26320
CARMEL, INDIANA 46032-2554 THIS NUMBER MUST APPEAR ON INVOICES,A/P
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO.
VENDOR NO. DESCRIPTION
12/14/2012
Garage Doors of Indianapolis
Street Department
IVENDOR SHIP 3400 W. 131st Street
5041.W. 96th Street TO
Carmel, IN 46074
Indianapolis, IN 46268
- (317) 733-2001
CONFIRMATION BLANKET CONTRACT
FREIGHT
QUANTITY UNIT OF MEASURE {
DESCRIPTION •
UNIT PRICE EXTENSION
Account 0043-501.00
1 Each door repairs.
$1,000.00 $1,000.00
Sub Total: $1,000.00
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sli'' ''14.P414 77b""Send Invoice To: . UV •° S
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'f P-
Street Department
3400 W. 131st Street
Carmel, IN 46074-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I
PROJECT PROJECT ACCOUNT j
AMOUNT
Carmel Street Department
PAYMENT $1,000.00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
•
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
SHIPPING INSTRUCTIONS • VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
•SHIP REPAID. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. t
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
ORDERED BY 1( t ! .. /� II, n _ J
SHIPPING LABELS.
•' -�bl_v'V
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 A
TITLE I
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. • I �. Q
)OCUMENT CONTROL NO. 26/20 CLERK-TREASURER
�J I
OFFICE COPY