HomeMy WebLinkAbout103076 SERVICE EXPRESS INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
City ®f C2IrIIh!e]I CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103076
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
8/21/2019 357831 Equipment Maintenance-12/1/2019-11/30/2020
SERVICE EXPRESS INC ICS
VENDOR DEPT 6306 SHIP 31 1st Avenue N.W.
PO BOX 30516 TO Carmel, IN 46032-
LANSING, MI 48909- Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
39120
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 43-515.01
1 Each Annual Equipment Maintenance $7,500.00 $7,500.00
Sub Total $7,500.00
rs-
irc
.7-
(7-, .
1 ill
...,-
. " 7; .r ,
y� $�y� y1 ���
�yJp.. Fy�"p_y-Y `r.Ri.-AiHR�nagy�4,4 ,fit
'dam �f 'it e 4 II , I.
!II‘r)
Send Invoice To: �`�•• '_
ICS greement 22163
Timothy Renick
31 1st Avenue N.W.
Carmel, IN 46032-
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $7,500.00
SHIPPING INSTRUCTIONS *A/P 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 ALL SHIPPING LABS C
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 ._,gvf
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick James Crider
TITLE Director Administration
CONTROL NO. 1 03076 CLERK-TREASURER