HomeMy WebLinkAbout101078 FREERICKS CONTRACTORS INDIANA RETAIL TAX EXEMPT P...age 1 of 1
City of IIa]rr1r1e1 CERTIFICATEO PURCHASE
EORD
NUMBER
FEDERAL EXCISE TAX EXEMPTi® O�Q _
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
12/13/2017 361637 Building repairs/maint-encumbrance
FREDERICKS CONTRACTORS Communications
VENDOR PO BOX 229 SHIP31.1st Avenue N.W.
TO
Carmel, IN 46032-
PENDLETON,IN 46064- Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21653
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 43-501.00
1 Each Building repairs/maint $9,000.00 $9,000.00
Sub Total $9,000.00
Send Invoice To:
Communications
Timothy Renick
31 1st Avenue N.W. ' ,
Carmel,IN 46032-
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $9,000.00
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 ,�--
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 /� '4 ---(7
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick James Crider \
TITLE Director Administration ��
CONTROL NO. 101078 CLERK-TREASURER \\