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City ®f Carirnel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102680
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 '
2/22/2019 366289
P K S CONSTRUCTION INC General Administration
VENDOR 450 S RITTER AVE SUITE 1A SHIP 1 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46219-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
34069
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1205 Fund: 101 General Fund
Account: 43-501.00
1 Each Building Repairs and Maintenance $15,400.00 $15,400.00
Sub Total $15,400.00
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Send Invoice To: ' dj
Dept of Administration
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1 Civic Square Yr ,:_
Carmel, IN 46032- 3 �g
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT PROJECT PROJECT ACCOUNT 0 AMOUNT
PAYMENT $15,400.00
'A/P 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 J
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 A4.-0 - ' ic'4'`'-f3[ �"� \�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY �'i �\
James Crider James Crider V TITLE Administration Administration r
CONTROL NO. 102680 CLERK-TREASURER