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INDIANA RETAIL TAX EXEMPT
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CERTIFICATE NO. 003120155 002 0PURCHASE ORDER NUMBER
104979
FEDERAL EXCISE TAX EXEMPT
35-6000972
ONE CIVIC SQUARE
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CARMEL, INDIANA 46032-2584
9017715/3)*-39)5,)5>+688-9765,-5+-
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Sprinkler repairs
2/10/2021366705
GRUNAU COMPANY INC OF INDIANA ICS
VENDORPO BOX 74008409 SHIP 31 1st Avenue N.W.
TO
Carmel, IN 46032-
CHICAGO, IL 60674--8409Timothy Renick(317) 571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
53880
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund:
1115101General Fund
Account:43-501.00
Each
1Sprinkler repairs$656.00$656.00
Sub Total$656.00
Send Invoice To:
ICSProposal # FQ2102080005
Timothy Renick
31 1st Avenue N.W.
Carmel, IN 46032-
(317) 571-2576
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
$656.00
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ORDERED BY
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Timothy Renick
TITLE
Director
104979
'10531.01#
CONTROLLER