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City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER \/� t
FEDERAL EXCISE TAX EXEMPT 1 02810 ,ulvu
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A!P
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
4/17/2019 367567 Reflecting Pool Repairs
HEARTWOOD ENTERPRISES Street Department
VENDOR 3317 WEST 96TH STREET SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
INDIANAPOLIS, IN 46268- (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
35541
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1206 Fund: 101 General Fund
Account: 43-509.00
1 Each Reflecting Pool Repairs $7,800.00 $7,800.00
Sub Total $7,800.00
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Send Invoice To: �'� + _p,. ' ."�" 1 .k ' f c R r'� ,I
Street Department �� r
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3400 W. 131st Street z 4' :-- . ,F 1.,::::,
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Carmel, IN 46074- 't`.,_ q L:40 VIA '---
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT I PROJECT [ PROJECT ACCOUNT m AMOUNT
PAYMENT $7,800.00
SHIPPING INSTRUCTIONS *AIP 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 04,t,- .._ /1"/7,---""1 "
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BYi
Dave Huffman James Crider
TITLE Director Administration
CONTROL NO. 102810 CLERK-TREASURER