HomeMy WebLinkAbout100874 BONE DRY ROOFING City Carme1INDIANA RETAIL TAX EXEMPT Page 1 of 1
of I CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100874
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
11/3/2017 361543 Hail Damage to Administration Building
BONE DRY ROOFING Street Department
VENDOR 4825 W 79TH STREET SHIP 3400 W. 131st Street
TO
Carmel, IN 46074-
INDIANAPOLIS,IN 46268- (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
20388
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 43-501.00
1 Each Hail Damage to Administration Building $157,827.16 $157,827.16
Sub Total $157,827.16
Send Invoice To:
Street Department
3400 W. 131st Street
Cannel,IN 46074-
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $157,827.16
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 r�
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
ORDEREDBY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
Dave Huffman James Crider `\\
TITLE Director Administration
CONTROL NO. 100874 CLERK-TREASURER