HomeMy WebLinkAbout41431 CARMEL GLASS & MIRROR INC. INDIANA RETAIL TAX EXEMPT PAGE 1
City
CarmelI CERTIFICATENO0031201 SS 00201
I FEDERAL EXCISE TAX EXEMPT 41431
35-60000972
ONE CIVIC SOINR: THIS NUMBER MUST APPEAR PAOGNGON INVOICES,MP NOH:NA4? Z- : SHIPPING DELIVERY ANY
ORRESP SUPS.
SHIPPING LABELS AND ANY CARRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO.
DESCRIPTION ._
4/26/2017
05/01/17 12331 `045075 Window repair/replace at 96th trailhead
C0rmeParks Maintenance
1 Glass&Mtrror Inc. 1427 E.116th Street ATTN:Courtney
500E 106th Street SHIP Carmel,IN 46032
VENDOR Indianapolis,IN 46280 TO
FREIGHT
CONFIRMATION 1 BLANKET 1 CONTRACT 1 PAYMENT TERMS
QUANTITY 'UNIT OF MEASURE I
DESCRIPTION I UNIT PRICE I EXTENSION
1.000 each Labor and material to repair/replace triangle tempered $1,846.5000 $1,846.50
insulated glass
GLAccount#1125416-4350100
Send Invoice To: $1,846.50
PLEASE INVOICE IN DUPLICATE
PROJECT ACCOUNT AMOUNT .. ..
DEPARTMENT ACCOUNT PROJECT �
PAYMENT _
AM VOUCHER CANNOT BE ROVED FOR PAYMENT UNLESS THE P.O.RUINER IS
PART OF THE VOUCHER ANDDEEVERY INVOICE AND VOUCHER HAS THE PROPER SWORN E A
AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE M THIS APPROPRIATION
SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID.
. C.o.D SHIPMENTS CANNOT BE ACCEPTED. Michael Allen
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY
COMPLIANCE
WITH BE,ACTS
AND ACTS MANDATORY EEOOFAN SUPPLEMENT THERETO. TITLE
CLERK-TREASURERt‘M >�
VENDOR COPY
DOCUMENT CONTROL NO. 41431 "Y\