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26311 Schafer Powder Coating, Inc. � .kIIN©IAN�QyRETAIL TAX EXEMPT PAGE C� of- Carmel CERTIFICATE NO 003120155 002 0 t" J PURCHASE ORDER NUMBER '.0•.gf., f)gRALECCISETAX EXEMPT 26311 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. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 . 'URCHASE ORDER DATE . DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 11/28/2012 • Schafer Powder Coating, Inc. Street Department VENDOR SHIM M _3400 W. 131st Street 4518 W. 99th Street . __ _�--- -•_ "., r- -ro (. t , Carmel, IN 46074 --""Carmel, IN 46032 \ ,,,, (317) 733-2001 , CONFIRMATION, BLANKET CONTRACT ,, f t ,111 PAYMENT TERMS - FREIGHT • QUANTITY UNIT OF MEASURE 1 DESCRIPTION UNIT PRICE EXTENSION • Account 0043-509.00 21 Each benches . $100.00 $2,100.00 16. Each trash cans $50.00 $800.00 • :µ Sub Total: $2,900.00 l � . . i 0) ' 1r. . ;' • )111* . 0 •s ate , �, • ril ,,,0$7 ° ti�. Arr. ( ( Send Invoice To: Street Department ; 3400 W. 131st Street ,. i Carmel, IN 46074- I PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Street Department • PAYMENT $2,900.00 , • NP 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 THIS APPROPRIAT•�ON SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. ` �(� //'�) (/j� a ` • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY NI • ii ,L.( V , 1 I/ 1 ` o , , ;11 •PURCHASE ORDER NUMBER MUST APPEAR ON ALL — SHIPPING LABELS. -, A •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE - A _ —`l L ,- i A , Q , c N-1--- AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. .".1 / �� CLERK-TREASURER DOCUMENT CONTROL NO. 26311 OFFICE COPY r.