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CityA ' INDIANA RETAIL TAX EXEMPT PAGE
o f Carmel CERTIFICATE NO.003120155 002 0
" Y\�/ �e.� PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31410
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
12/17/2013
ChemMy Cannel Police Department
VENDOR SHIP 3 Civic Square
TO
1801 Country Club Road Carmel, IN 46032
Indianapolis, IN 46234 (317)571-2574
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS ' FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.601.00
1 Each water damage repairs. $2,087.94 $2,087.04
Sub Total: $2,087.94
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Send Invoice To ''..,
Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE '
DEPARTMENT 1 ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. i._■6 PAYMENT $2,067.94
• 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 CERTI TAT THERE IS AN NOBLIGATED BALANCE IN
•SHIP REPAID.
THIS 7ICIENPAY FOR THE ABOVE ORDER.
•COD.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL QRDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945 TITLE olice
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3141'0 OFFICE COPY