HomeMy WebLinkAbout39317 Carmel WeldingCity of ;.Carmel
GIRL Cr/IC SQUARE
CARMEL. uht-Llic a.7f2-225
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-60000972
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PAGE 1
PURCHASE ORDER NUMBER
c 3i`1
THIS NUMBER MUST APPEAR ON INVOICES, AIP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
12/10/2015
09/27/15
6634
Service repair for drinking fountain - Founders Park
Carmel Welding
550 S Rangeline Rd
VENDOR Carmel, IN 46032
Parks Maintenance
1427 E. 116th Street ATTN: Courtney
SHIP Carmel, IN 46032
TO
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY 1 UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
1.000
Send Invoice To:
each
Service repair - tapping threads to fountain part
GLAccount# 1125408-4350100
PLEASE INVOICE IN DUPLICATE
$ 127.5000
$ 127.50
$ 127.50
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
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 ANDSUPPLEMENT THERETO.
DOCUMENT CONTROL NO. crq;E3 t -7
PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER 15 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
VENDOR COPY
Michael Allen