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Iit)TOf Iarriie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
1 FEDERAL EXCISE TAX EXEMPT 100863
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
1FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
;PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
.
10/31/2017 00351542
VERDIN COMPANY General Administration
VENDOR PO BOX 632672 SHIP 1 Civic Square
TO Carmel, IN 46032-
CINCINNATI,OH 45263--2672
PURCHASE ID ! BLANKET CONTRACT II PAYMENT TERMS FREIGHT
20286 j 1 I
I-
QUANTITY UNIT OF MEASURE y DESCRIPTION UNIT PRICE EXTENSION
Department: 1205 Fund: 101 General Fund
Account: 43-515.01
1 Each Building Repairs and Maint $830.00 $830.00
Sub Total $830.00
Send Invoice To:
Dept of Administration
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT LPROJECT 1 PROJECT ACCOUNT AMOUNT
PAYMENT $830.00
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 LABEL �-77
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ��--v -e/
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY \ )
James Crider
TITLE Administration ` \ Vv
CONTROL NO. 100863 CLERK-TREASURER \�1\