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City of Carmel
CERTIFICATE NO.003120155 002 PURCHASE oOoR�QER�UMBER
FEDERALEXCISE TAX EXEMPT
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
8/25/2017 371299 Sophia Square Parking Garage Drain Pans &Gutters
DAN HAINES CONSTRUCTION CO., INC Street Department
1VENDOR 915 EAST DALY STREET SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
INDIANAPOLIS,IN 46202- (317)733-2001
PURCHASE ID BLANKET I CONTRACT PAYMENT TERMS FREIGHT
18461
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1206 Fund: 101 General Fund
Account: 43-509.00
1 Each Repairs to Buildings $7,226.00 $7,226.00
Sub Total $7,226.00
Send Invoice To:
Street Department
3400 W. 131st Street
Carmel, IN 46074-
(317)733-2001 PLEASE INVOICE IN DUPLICATE
L._
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $7,226.00
SHIPPING INSTRUCTIONS 'AiP 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 / s
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 L�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Dave Huffman James Crider �(
TITLE Director Administration t}r
CONTROL NO. 100685 CLERK-TREASURER V