29295 Lowe's C O INDIANA RETAIL TAX EXEMPT PAGE 1 of 1
�.J��ss CERTIFICATE N0.003120155 002 0
PURCHASE ORDER NUMBER
•
1
FEDERAL EXCISE TAX EXEMPT 29295
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,PIP
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
12/18/2012 M000857 d,0357.387 Lumber&WD 40
Lowe's Maintenance
14598 Lowes Way SHIP
VENDOR Carmel, IN 46033 TO
DEC 1 gO1a
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS I-HEIGHi
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 Lumber for fence repairs for White River Greenway $ 28.32 $ 28.32
1 WD 40 for Park Maintenance use $ 36.32 $ 36.32
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Send Invoice To: - I F^�^
$ 64.64
PLEASE INVOICE IN DUPLICATE .
DEPARTMENT I ACCOUNT PROJECT I PROJECTACCOUIIT I AMOUNT
1125-4-20-4235000 Building materials $ 28.32 PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
1125-4-01-4238900 Other maintenance supplies $ 36.32 NUMBER ISMAQEAPARTOETHE VOUCHERAND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORD AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS IN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT ID PAY FOR THE ABOVE ORDER.
•SHIP REPAID, �/�\�
•C.O.O.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Park Maintenance [�4+4L-',-I k _ � j ZI ic61 LZ-
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
29295 CLERK-TREASURER
DOCUMENT CONTROL NO. • VENDOR COPY