HomeMy WebLinkAbout25650 Bob Block Fitness Equipment 1i INDIANA RETAIL TAX EXEMPT PAGE® I' °�lS.�s� �1� CERTIFICATE NO.003120155 002 0
Cjt' 7 \CC PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT .
35-60000972 2
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
212812013
Bob Block Pltnoss Equipment Canto' Pollee Dopartmont
VENDOR SO HIP 3 Civic Square
09211 Castioway Cou Most UMW!, IN 46032
Indianapolis, IN 4 (317)571
CONFIRMATION BLANKET CONTRACT / PAYMENT TERMS FREIGHT
Account
QUANTITY gp{U�NIITTpOF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-600.00
1 Each repairs to treadmill $814.00 . $814.00
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►►'``',, Sub Total: $814.00
, 4.00- 4.1 ,6L:40,...440 ,-.A..„_,4•0.‘,\
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Send Invoice To: [--1
UMW Polico Dop ttmont
Attn: Tonna Anderson
3 Civic Squara
Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT k ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. CS PAYMENT c414.00
• 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 THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
— —?:3 —
i
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY _7;
SHIPPING LABELS. p
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Chief of
Polleo
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO
25 6 5 0 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY •