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. � CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 50025
35-60000972
ONE CIVICSQUARE
CARMEL,INDIANA 46032-2514 THIS NUMBER MUST APPEAR ON INVOICES,AlP
VOUCHER,DELIVERY MEMO,PACKING SLIPS.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE' DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
6/29/2017 07/04/17 13188 2334G5 Maintenance Office IT Rewire
On-Ramp Indiana Parks Maintenance
859 Conner St 1427 E. 116th Street ATTN:Courtney
VENDOR Noblesville, IN 46060
SHIP
o P Carmel,IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each Labor and material to relocate date rack,fiber,and rewire $2,000.0000 $2,000.00
maintenance office
GLAccount#1125413-4350100
Send Invoice To:
$2,000.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• MP 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Michael Allen
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1045
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 50025 VENDOR COPY