36483 Picnic Furniture Carmel Clay INDIANA RETAIL
NO. EXEMPT PAGE
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
Parks&Recreation FEDERAL 35-60-60E 000972 00972 0 EXEMPT 36483
:.. F I:6' >II••••I
CL, III �It:.�° THIS NUMBER MUST APPEAR ON INVOICES.NP
VOUCHER,DELIVERY MEMO,PACKING KING 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
12/17/2013 12/22/13 177 36261/' Picnic Tables
Picnic Furniture Administration Office
2729 E Moody Blvd.#301 P.O. 1411 E. 116th Street
VENDOR Bunnell, FL 32110 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
14.000 each 32 Gallon Trash Receptacle $ 299.95 $4,199.30
1.000 each Freight Charges $ 545.00 $545.00
GLAccount# 1125102-4463600
Send Invoice To:
$4,744.30
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED. �����
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper .�' l -tOti' .'1 3
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS'1945
- l J!
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36483 VENDOR COPY