HomeMy WebLinkAbout102963 XYLEM DEWATERING SOLUTIONS INC 1
ity INDIANA RETAIL TAX EXEMPT age 1 of 1
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 02963
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MU T APPEAR ON INVOICES,A/P
CARMEL,INDIANA 46032-2584 1 VOUCHER,DELIV RY 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
6/20/2019 368610
XYLEM DEWATERING SOLUTIONS INC Carmel Police Department
VENDOR 28611 NETWORK PLACE SHIP 3 Civic Square
TO ;Carmel, IN 46032-
CHICAGO, IL 60673--1286 Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
37273
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-501.00
1 Each range lift station pump repairs $858.68 $858.68
Sub Total $858.68
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Send Invoice To:
Carmel Police Department
Accounts Payable ' ��
3 Civic Square ,
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECTACCOUN� 1 AMOUNT
PAYMENT $858.68
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 H/�S THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UIiIOBLIGATED 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 "�w
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow
TITLE Chief /ksi_4
CONTROL NO. 102963 CLERK-TREASURER