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Chit of Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100765
ONE CIVIC SQUARE 35-6000972
— THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 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
10/2/2017 056800 Ingound handhole
CHAPMAN ELEC SUPPLY INC Communications
VENDOR 1500 WESTFIELD ROAD SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
NOBLESVILLE,IN 46062- Timothy Renick (317)571-2576
1
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
19429
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 43-500.00
1 Each PHA243624XM002 24x36x24 Open bottom box w/tier 22 cover $490.29 $490.29
Sub Total $490.29
Send Invoice To:
Communications Quote No. 1132646
Timothy Renick
31 1st Avenue N.W.
Carmel,IN 46032-
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT i
PAYMENT $490.29
SHIPPING INSTRUCTIONS 'A./P 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 i f _�y}� y�"`�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY -- /�
Timothy Renick
TITLE Director \�\
CONTROL NO. 100765 CLERK-TREASURER