HomeMy WebLinkAbout25655 Superior Carpet Installers, Inc. Jl C INDIANA RETAIL TAX EXEMPT PAGE® II e Jlli�� CERTIFICATE NO.003120155 002 0
Ci PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 •
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
2/27/2013
Superior Carpet Installers, Inc. Carmel Police Department
SHIP
VENDOR 3 Civic Square
TO
1027 E. Georgia Street Carmel, IN 48032
Indianapolis, IN 46202 (317)571
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.501.00
1 Each carpet replacement $1,880.00 $1,880.00
Sub Total: $1,880.00
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Send Invoice To: j-014
Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 2- PLEASE INVOICE IN DUPLICATE
DEPARTMENT N ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. e.,3 PAYMENT $1,1 .00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER 15 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPR Fr 1 'ION SUFFICIENT TO.P.AY•FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY q hiol g Qp PolIc�
SHIPPING LABELS. I
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE C
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25655 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY