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City ®f Carme1CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100459
ONE CIVIC SQUARE I_ 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
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 y
5/19/2017 371685
JK PROPERTY SOLUTIONS, INC. Carmel Police Department
VENDOR 1776 N.MERIDIAN SHIP 3 Civic Square
SUITE 500 TO Carmel, IN 46032-
,...
INDIANAPOLIS,IN 46202- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
15505
QUANTITY + UNIT OF MEASURE DESCRIPTION UNIT PRICE 1 EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-501.00
1 Each Office Renovations $3,750.00 $3,750.00
Sub Total $3,750.00
Send Invoice To:
Carmel Police Department
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE_ INVOICEDUPLICATE
IN D
DEPARTMENT
I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT J
PAYMENT $3,750.00
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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 401.4.3 [\, `
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY -- — - -
Jim Barlow
TITLE Asst.Chief
CONTROL NO. 100459 CLERK-TREASURER