HomeMy WebLinkAbout101022 HERITAGE HOMES & RESTORATIONS LLC INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Carmel PURCHASE NUMBER
EXCISE TAX EXEMPTO InOR0D��UMBER
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
121612017 372103 Painting for 3348 Foster Ridge Lane
HERTIAGE HOMES&RESTORATIONS LLC City Engineering's Office
VENDOR 237 N.INDEPENDENCE STREET SHIP : 1 Civic Square
TO
Carmel, IN '46032
TIPTON, IN 46072- Kate Lustig
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21299
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Fund: 2200 Motor Vehicle Highway
Account: 43-509.00
1 Each Painting $4,625.00 $4,625.00
Sub Total $4,625.00
Send Invoice.To:
City Engineering's Office
Kate Lustig
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $4,625.00
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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 (�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY \
Jeremy Kashman ��
TITLE Director
CONTROL NO. 101022 CLERK-TREASURER