HomeMy WebLinkAbout28984 Access Electrical Services, LLC I
a INDIANA RETAIL TAX EXEMPT PAGE J
j c1��F I y JL d f 1 L CERTIFICATE NO. 003120155 002 0
PUR
I CHASE ORDER NUMPER
L
FEDERAL EXCISE TAX EXEM 28984 I
i I
35- 60000972 N
THIS NUMBER MUST APPEAR ON INVOICES, FVF' I
ONE
CIVIC SQUARE VOUCHER, DELIVERY MEMO, PACKING SUPS,
C INDIANA A 4 46 6032 2531 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. i!` DESCRIPTION
9/22/2011 1M000566 3lv319O8 Repairs to Rotary Fountain
Access Electric Services, LLC SHIP
VENDOR 1350 CW 50 •h p Rd 4x 215 TO
Inc! i ana.pol I N 4 cd2•i7
CONnnw.TioN BLANKET CONTRACT PAYMEIJT TERMS I FREIGHT
QUANTITY 1 UNIT OF MEASURE DESCRIPTION I UNIT PRICE 1 EXTENSION
Rotary Fountain Plaza water fountain 776.86 776.86
Junction box was shorted out. AES replaced box and
GFCI breaker and sealer.
f
S end Invoice To ',7-7-:P---:------,-,-7-% I I,
n f 1
776.86
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT I— PROJECT PROJECT ACCOUNT AMOUNT
1125 -4 -16- 4350000 Equipment repairs PAYMENT
NI' VOUCHER CANNOT BE A. °PP.OV D FOR PAYMENT UNLESS THE P.O
NUS ;EER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORI AFFIDAVITAflACHED.
I HEREBY CERTIFY THAT THERE IS 114 UNOBLIGATED BALANCE !N
SHIPPING INSTRUCTIONS THIS APPROPRIATION SUFPICIENT )1 PAY FOR THE ABOVE ORDER
SHIP REPAID T•• d Snyder
C.O.D. SHIPMENTS CANNOT BE ACCEPTED, ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR CH ALL
SHIPPING LABELS.. TITLE 1
mIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 i
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
28984 CLERK-TREASURER
VENDOR COPY
DOCUMENT CONTROL NO.