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Cisof CIIII]rr1rIIe1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER •
FEDERAL EXCISE TAX EXEMPT 1 02567
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
1/23/2019 358710 Fiber flags
CORE&MAIN ICS
VENDOR P 0 BOX 28330 SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
ST LOUIS, MO 63146- Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
33235
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
I
;Department: 1115 Fund: 101 General Fund
Account: 42-390.99
2000 Each City of Carmel fiber optic flags $0.12 $240.00
1 Each shipping $17.00 $17.00
Sub Total $257.00
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Send Invoice To: .
ICS _
Timothy Renick E .,
31 1st Avenue N.W. , ,9,,
,
Carmel,IN 46032-
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $257.00
'AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
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 / ' `�y
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick
TITLE Director \
CONTROL NO. 102567 CLERK-TREASURER
