HomeMy WebLinkAbout53144 AP INSPECTIONS & ENVIRONMENTAL SERVICES :CL. . 111 1 I FEDERAL EXCISE TAX EXEMPT PURCHASE ORDER NUMBER
35-60000972 53144
ONE CMC SQUARE
C'- IEI`l N ! (fin 't `-2E,S4 THIS'NUMBER MUST APPEAR ON VOUCHER,DELIVERY MEMO,PACKING ISLPS,
SHIPPING LABELS AND ANY CORRESPONDENC
M APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
;HASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
'2019 07/01/19 20503 W-9 Attached Service Call-Air Quality Testing for PNR Building
AP Inspections& Environmental Services Parks Maintenance
5868 E. 71st Street E-168 1427 E. 116th Street ATTN: Courtney
DOR Indianapolis, IN 46220 TOIP Carmel, IN 46032
IRMATION BLANKET CONTRACT PAYMENT TERMS (FREIGHT
)UANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
l0 each Service Fee To Test Air Quaility in Staff Offices $510.0000 $ 510.00
GLAccount# 1125413-4350100
Invoice To:
$ 510.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• AIP VOUCHER CANNOT BE APPROVED FOR PAIMENT UNLESS THE P.O.NUMBER IS MADI
PART OF THE VOUCHER AND EVERYINVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
IP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
1.D SHIPMENTS CANNOT BE ACCEPTED.
RCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
S ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
3 ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
!`I CDV TOGA CI IDCD