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26395 Prestige Performance II, Inc. INDIANA RETAIL TAX EXEMPT PAGE C i Of ,C a rme j CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 26395 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE.r FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 12/19/12 . Prestige Performance II, Inc. City of Carmel VENDOR 326 John Street SHIP Mayor' s Office Carmel, IN 46032 TO One Civic Square Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT. QUANTITY . UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION 1,000 City of Carmel Pencils $260 .00 Shipping $ 15 . 00 : , AO •• a,,,,,* ,, , ,,,,-04( .,,,,, : 4, ie Co I o ik. ' * i 0 (cr, ' , , , --1 .. * t ', : G, n milk _,J1 ‘,40,'S %. \\,,,,: ::: „ , :',3 , IQ) 00, 0474•.°° ..<.>. `© ,,, Send Invoice To: � ( H c L Dept. 1160 - A/C 4355100 $275 .00 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT • 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 THA THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATIO NT FFIOIE TO PAY FOR THE PROVE ORDER. •SHIP REPAID. 1/ •'C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • • •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 67, :1—SHIPPING LABELS •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. A �� CLERK-TREASURER DOCUMENT CONTROL NO. 3+ OFFICE COPY