HomeMy WebLinkAbout33055 Leach & RussellCi
of
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
33055
THIS NUMBER MUST APPEAR ON INVOICES, MP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
9/412015
Leach 8 Russell Mechanical
VENDOR
9151 Ford Circle
Fishers, IN 46039
SHIP
TO
Cartmel Police Department
3 Civic Square
Cannel, IN 46032
(317) 571-2559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43601.00
1 Each maintenance agreement
July, August, September maintenance
• Send Invoice To:
Carmel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 46032 -
PLEASE INVOICE IN DUPLICATE
$950.00
Sub Total:
$950.00
$950.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
Carmel Police Dept.
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY
TITLE
DOCUMENT CONTROL NO. 33055 CLERK OFFICCE COPYR
E COPY
PAYMENT
• MP 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.
I HEREBY CERTIFY TH T T RE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIAT O 5 F' ICIENT TO PAY FOR THE ABOVE ORDER.
' AMOUNT. 7',
$950.00
C I : of Police