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INDIANA RETAIL TAX EXEMPT Page 1 of 1
1City o-f CarmelCERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100617
ONE CIVIC SQUARE 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. i VENDOR NO. DESCRIPTION
7/21/2017 ; 361637
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FREDERICKS CONTRACTORS " Communications
,VENDOR PO BOX 229 SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
PENDLETON, IN 46064- (317)571-2576
PURCHASE ID 1 BLANKET CONTRACT PAYMENT TERMS FREIGHT
17394 1
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QUANTITY i UNIT OF MEASURE DESCRIPTION -- - UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 43-500.00
1 Each Installation of new 20 A circuit for IDF rack in Traffic box at $300.00 $300.00
1st&Main
Sub Total $300.00
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Send Invoice To: 1' • ,-: -y
Communications
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31 1st Avenue N.W. q # ,. ` s
Carmel, IN 46032- " #.x, i 1--....
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT
? AMOUNT
PAYMENT $300.00
*A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 �7
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
—
Timothy Renick
TITLE Director
CONTROL NO. 100617 CLERK-TREASURER