HomeMy WebLinkAbout32571 Blackmore & Buckner RoofingCity 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
35-6000972
Page T or 7
PURCHASE ORDER NUMBER
32571
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELNERY MEMO, PACKING SUPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
1 111 3/2 01 5
369232
Tower Roof Repairs at the Reflecting Pool
BLACKMORE & BUCKNER ROOFING LLC
VENDOR 1504 SADLIER CIRCLE SOUTH DRIVE
INDIANAPOLIS, IN 46239 -
Street Department
SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
(317) 733-2001
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE EXTENSION
Department: 1206
1 Each
Send Invoice To:
Street Department
3400 W. 131st Street
Carmel, IN 46074 -
Account: 43-509.00 Fund: 101 General Fund
Repairs - Reflecting Pool
PLEASE INVOICE IN DUPLICATE
$35,350.00 $35,350.00
Sub Total $35,350.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
SHIPPING INSTRUCTIONS
'SHIP PREPAID.
'C.O.D. SHIPMENT 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. 32571
PAYMENT $35,350.00
AIP 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 THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
ORDERED B
TLE Dir
CLERK -TREASURER