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INDIANA RETAIL TAX EXEMPT f 1
City C of Canal O PURC EORDER NUMBER
FEDERAL EXCISE TAX EXEMPTHA1 01082
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 00350511
SMOCK FANSLER CORP Redevelopment Commission
VENDOR 2910 W MINNESOTA ST SHIP 30 W Main Street,Suite 220
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46241 - Micheal Lee (317)571-2788
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21657
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 902 Fund: 902 Carmel Redevelopment Fund
Account: 44-608.41
1 Each Additional sidewalk for parking lot at 15 1st Ave $9,840.00 $9,840.00
Sub Total $9,840.00
Send Invoice To: -`
Redevelopment Commission
Michael Lee
30 W Main Street,Suite 220
Carmel, IN 46032-
(317)571-2788 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $9,840.00
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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Henry Mestetsky
TITLE K i
CONTROL NO. 101082 CLERK TREASURER v