HomeMy WebLinkAbout101757 NORTHSIDE GARAGE DOOR SYSTEMS, INC. INDIANA RETAIL TAX EXEMPT Page 1 of 1
City o f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101757
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AVP
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
6/28/2018 372556
NORTHSIDE GARAGE DOOR SYSTEMS, INC. Carmel Police Department
VENDOR 17555 WILLOW VIEW RD. SHIP 3 Civic Square
UNIT C TO Carmel, IN 46032-
NOBLESVILLE, IN 46062- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
27102
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-501.00
1 Each Installation of 2 Lift Master garage door openers $2,088.00 $2,088.00
Sub Total $2,088.00
1.
Send Invoice To:
Carmel Police Department
Accounts Payable gib"
3 Civic Square
Carmel, IN 46032- w x
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $2,088.00
SHIPPING INSTRUCTIONS 'AVP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
*SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
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
Jim Barlow
TITLE Chief /�
CONTROL NO. 1 01757 CLERK-TREASURER