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City ®f iIIarirriie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100436
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584
VOUCHER,DELIVERY MEMO.PACKING SLIPS,
�I SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
5/11/2017 362779
LEACH&RUSSELL Carmel Police Department
VENDOR 9151 FORD CIRCLE SHIP 3 Civic Square
TO
Carmel, IN 46032-
FISHERS,IN 46038- Blaine Mallaber
PURCHASE ID BLANKET 1 CONTRACT 1 PAYMENT TERMS FREIGHT
15275
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-501.00
1 Each rebuild make-up air unit $5,995.00 $5,995.00
Sub Total $5,995.00
Send Invoice To:
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT 1 PROJECT ACCOUNT 1 AMOUNT
PAYMENT $5,995.00
SHIPPING INSTRUCTIONS *NP 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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL > -
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-
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ., _ ^
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY -- -- r"\
Tim Green Douglas Haney
TITLE Chief of Police Corporation Counsel f V
CONTROL NO. 100436 CLERK-TREASURER - - ‘,0