HomeMy WebLinkAbout31375 JNA Mechanical INDIANA RETAL TAX EXEMPT
C 1 Of 4 � l rme CERTIFICATE NO!003120155 002 0 PAGE
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 11375
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
1 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11125@013
JNA Mechanical Cannel Police Department
VENDOR SHIP 3 Civic Square
TO
421 West Main Street Cannel, IN 46032
D-aenwoo , IN 46142 (317)571-2574
CONFIRMATION BLANKET CONTRACT I PAYMENT TERMS FREIGHT
' QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-601.00
1 Each Replace 112° hoses feeding heat pump $271.00 $271.00
Sub Total: $271.00
Or-i C)..F.•-...\-./;.1? '"idit
(11)°rn �1
A Send Invoice To:
I
Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. ;�C� PAYMENT $n1 Q0
• 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 T RE SAN UNOBLIGATED.BAOkNCE IN
•SHIP REPAID.
THIS APPROPRIATION CIENT TO PAY F E ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Chi-- or Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31375 OFFICE COPY