HomeMy WebLinkAbout33179 Adam's FlooringCi
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
33179
THIS NUMBER MUST APPEAR ON INVOICES, AP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
101512015
Adam's F ooring
VENDOR
1083 South Rangeilne Rd
Cannel, IN 46032
SHIP
TO
Cannel 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 43-601.00
1 Each replacement baseboard
Send Invoice To:
Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032 -
PLEASE INVOICE IN DUPLICATE
$975.00
Sub Total:
$975.00
$975.00
DEPARTMENT
Carmel Police Dept.
%ACCOUNT
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.
DOCUMENT CONTROL NO. 33179
PROJECT
ORDERED BY
PROJECT ACCOUNT
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 PROPE SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY Tr T RE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI ICIENT TO PAY FOR THE ABOVE ORDER.
AMOUNT
fro ou
hid of Polito
TITLE
CLERK -TREASURER
OFFICE COPY