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e1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
, FEDERAL EXCISE TAX EXEMPT 1 00960
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
rPURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1 11/20/2017 361637 Dorm Build-Out-Station 43
FREDERICKS CONTRACTORS Fire Department
VENDOR PO BOX 229 SHIP 2 Civic Square
TO Carmel, IN 46032-
PENDLETON, IN 46064-
r PURCHASE ID BLANKET CONTRACT r PAYMENT TERMS FREIGHT
r 20873
QUANTITY i UNIT OF MEASURE t DESCRIPTION UNIT PRICE I EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-501.00
1 Each Dorm Buildout Station 43 $64,325.00 $64,325.00
Sub Total $64,325.00
Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT y AMOUNT
PAYMENT $64,325.00
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 7 - r�
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 Ac.'. .,-ty
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY —
Denise Snyder James Crider
TITLE Budget&Accreditation Manager Administration\�
CONTROL NO. 1 00960 CLERK-TREASURER \\