HomeMy WebLinkAbout38011 Black Dog Home Improvement LLC City INDIANA RETAIL TAX EXEMPT PAGE 1
o a m e . CERTIFICATE NO.0031209 55 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 38011
35-60000972
-- _ THIS NUMBER MUST APPEAR ON INVOICES,A/P
-- 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
1/23/2015 01/28/15 4052 Perleman Barn Roof Repair
Black Dog Home Improvement LLC- Bryce Bale Parks Maintenance
165 Springvalley Drive 1427 E. 116th Street ATTN: Courtney
VENDOR Anderson, IN 46011 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each Remove existing bad pieces of sheathing and replace with $ 875.0000 $875.00
new.
GLAccount# 1125413-4350100
Send Invoice To:
$ 875.00
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
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 �A�l A , '
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1915
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 38011 ^•NOL:)H