HomeMy WebLinkAbout24695 Central Indiana HardwareCi
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE `
PURCHASE ORDER NUMBER
THIS. NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
319/2015
"---,,___,,.,,,_ ` -\ -���Pa
VENDOR
Central Indiana Hardware
PO Box 2025
Indianapolis, IN 46208
SHIP
TO
Carmel Fire Department
2 Carmel Civic Square
Carmel, IN 45032
(317'i 5712
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY I UNIT OFNEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 42-350)}�---"
1 Each SGLDW 1648342S70CRSKD4HSRH
1 Each Privacy Set 28 7US85LL28D
3 Each Hinge 13B1279 4 1/2 x 4 1/2 US26
• Hager
3 Each Door Silencers 608 Grey
1 Each WD36704FDPCPSR
3SV rH;CYL
Send. Invoice To:
Carmel Fire Department
2 Cannel Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$187.20
$104.51
$6.00
$0.10
$296.99
Sub Total:
$187.20
$104.51
$18.00
$0.30
$208.99
$587.00
DEPARTMENT
Carmel Fire Department
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUSTAPPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
24695
DOCUMENT CONTROL NO.
PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THEP:07.00
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY