HomeMy WebLinkAbout25625 GHS, Inc. INDIANA RETAIL TAX EXEMPT PAGE
City' o Ciiiiiè1 CERTIFICATE NO.003120155 002 0
of PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
i 35-60000972 We lig
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
112312093
CHB, Inc. Carmel Police Department
VENDOR SHIP
TO 3 Chile Square
6340 North Washington Street Carmel, IN 40032
Rho 1dan. IN 4 - (317)57l
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43101.00
1 Each convert 2X4 light fixtures to LED lamps $1,982.00 $1,982.00
Sub Total: $9,982.00
fp —.4111r-Ap--
04 OF
,7 1; ••' .- .... .
` ":
I :4i jell
r
,
4
� •- ,0
Send Invoice To: (i� �
Carmel Police Department
Attn:Teresa Anderson
3 Civic Square
Cannel, IN 48032 PLEASE INVOICE IN DUPLICATE
DEPARTMENT \ ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $1,982.00
• NP 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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT/TAERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION�SUfIF PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE a id rP�.Ilee
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25625 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY