HomeMy WebLinkAbout102506 FREDERICKS, INC v INDIANA RETAIL TAX EXEMPT Page 1 of 1
ci .City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102506
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
117/2019 372629
FREDERICKS, INC General Administration
VENDOR 5448 W.ST. RD#132 SHIP 1 Civic Square
TO Carmel, IN 46032-
PENDLETON, IN 46064-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
32790
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1205 Fund: 101 General Fund
Account: 43-501.00
1 Each Building Repairs and Maintenance $2,600.00 $2,600.00
Sub Total $2,600.00
`�t d
}
5 4`
Send Invoice To: ,
t
Dept of Administration
y v"
1 Civic Square
Carmel,IN 46032- f
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $2,600.00
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.--4
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY �f A
James Crider `�
TITLE Administration
tc
CONTROL NO. 102506 CLERK-TREASURER