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Cityo f CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101983
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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 �O\`
10/1/2018 361367 `09'
CORNETT ROOFING SYSTEMS Carmel Police Department aa _
VENDOR . 1442 AMY LANE SHIP 3 Civic Square C
TO, Carmel, IN 46032-
FRANKLIN,IN 46131 - Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
29776
QUANTITY UNIT OF-MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department 1110 Fund: 101 General Fund
Account: 43-501.00
1
Each roof repairs to elevotor shafts and general roof maintenance $4,940.00 $4;940.00
Sub Total $4,940.00
11:17:4
•
*At
Send Invoice To:. -
i .
Carmel Police Department
Accounts Payable . .
3 Civic Square
Carmel, IN 46032- ,
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $4,940.00
SHIPPING INSTRUCTIONS *ANP 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 LABE
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194' . ...�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY •
Jim Barlow
TITLE .Chief -
CONTROL NO. -101983 • CLERK-TREASURER