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LL� '}'"� j CERTIFICATE NO.003120155 002 0 City C� t � 1 i [ -- --- --^---- — PURCHASE_ORDER NUMBER
AA 1 1 \rr FEDERAL EXCISE TAX EXEMPT 38235
38235
-. THIS NUMBER MUST APPEAR ON INVOICES,AIR
VOUCHER,DELIVERY MEMO.PACKING SUPS,
Si TIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURC!-IASIE ORDER DATE DATE REQUIRED REQUISITION NO VENDOR NO- DESCRIPTION
3120/2015 03/24/15 4580 Electrical repair to Maintenance electrical vault.
Barth Electric Company Inc. Parks Maintenance
1934 North Illinois Street 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46202 SHIP Carmel, IN 46032
TO
CONFIRMATION 131-ANKET CONTRACT PAYMENT TERMS FREIGHT
.
QUANTITY ! UNIT OF MEASURE F DESCRIPTION I UNIT PRICE I EXTENSION
1.000 each Repair to the existing wiring in the quazite bow and redo $ 1,000.0000 $ 1,000.00
connection.
GLAccounti/ 1125413-4350100
Send Invoice To:
$ 1,000.00
PLEASE INVOICE IN DUPLICATE
UIEPAHTMENI ACCOUNT PROJECT PHOJrcr ACCOUNT AMOUNT
PAYMENT
• A!P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.Q.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.
. CO.!). SHIPMLN IS CANNOT 1311 ACCI9'1 Ei) (
• PURCHASE ORDER NUMIBERMUS I API-PAR ON Al_I.SLIT P DING LAPELS ORDERED BY Courtney Weintraut � .3 20\1S
• T I S ORDER ISSUED IN COMPLIANCE AO T1 CHAPIT_R 99,ALTS 19.15
�_'����� `�'r,l 111
AND ACTS AMENDATORY HTERE01 ANDSUPP LEMFNT 1T1E12H 10.
TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 38235