HomeMy WebLinkAbout100526 JIM RUSSELL PLUMBING & HEATING Go INDIANA RETAIL TAX EXEMPT Page 1 of 1
Ii1it of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER/
FEDERAL EXCISE TAX EXEMPT 100526 V
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,MP
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
1, 1
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PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. ' VENDOR NO. DESCRIPTION
6/23/2017 356465
JIM RUSSELL PLUMBING&HEATING " Carmel Police Department
VENDOR PO BOX 667 SHIP 3 Civic Square
TO Carmel, IN 46032-
ZIONSVILLE, IN 46077- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
16528
QUANTITY 1 UNIT OFMEASURE - -s DESCRIPTION UNIT PRICE 7 EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-501.00
1 Each Installation of drinking fountain filters $817.00 $817.00
Sub Total $817.00
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Send Invoice To: '`i a} „ Vfl' c "" *=.
Carmel Police Department
Accounts Payable
3 Civic Square • t
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Carmel, IN 46032- = r
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $817.00 L
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 LABE V
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY --
Jim Barlow
TITLE Chief
CONTROL NO. 1 00526 CLERK-TREASURER