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C°�rmel CERTIFICATE NO.003120155 002 0
1i Carmel J111 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
315/2013
ChemDrV Cannel Police Department
VENDOR SHIP 3 Civic Squaw
TO
1601 Country Club Road Cannel, IN 46032
Indianapolis, IN 46234 (317)571
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-501.00
4 Each water damage repairs $2,867.65 $2,687.65
Sub Total: $2,867.65
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Send Invoice To: \ /
Carmel Police Department
Attn:Teresa Anderson
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. �-3 PAYMENT $2,667.65
• 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.
I HEREBY CERTI T/N I IAT THERE IS AN UNOBLIGATED BALANCE IN
SHIPPING INSTRUCTIONS • THIS APPRO t TI SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. /
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY N
4
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE id of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
-25665
CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY