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I`� CERTIFICATE NO.003120155 002 0 PURCHASE OR ER NU R
FEDERAL EXCISE TAX EXEMPT 24483
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO., VENDOR NO. DESCRIPTION
91312013
Heartwood Enterprises Cannel Fire Department
SHIP 2 Civic Square
VENDOR TO
3317 West 96th Street Cannel, IN 46032
Indianapolis, IN 46268 (317)5712622 .
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
.
QUANTITY UNIT OF MEAS E , DESCRIPTION UNIT PRICE I EXTENSION
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Account 43-501.00
1 Each Replace windows with doors $1,998.00 $1,998.00
Sub Total: $1,998,00
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Send Invoice To: --e-p-_.- fO (`� ��
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- Carmel Fire Department
2 Civic Square
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Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Fire Department PAYMENT $1,998.00
• 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 T V 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 ��--- - - ��:
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. v
2 4 4 8 3 CLERK-TREASURER .
DOCUMENT CONTROL NO. OFFICE COPY