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City 1 \\y o l\, _i�.1 rmeII 1 CERTTIFICATE NO. 03120155 020 PURCHASE ORDER NUMBER
O,/x y, /Y 1L �i/ 1JYll FEDERAL EXCISE TAX EXEMPT 31449
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SUPS.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.I
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1117/2014
Leach &Russell Mechanical Cannel Police Department
VENDOR SHIP 3 CIviC Square
9151 Ford Circle TO Cannel, IN 48032
Fishers, IN 46038 (317)571-2574
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
Account 43601.00
I Each replace bearings, align fan &motor, $2,332.00 $2,332.00
grease &test
Sub Total: $2;332,00
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Send Invoice To:
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....Q, PAYMENT $2,332.00
• 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 THER IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATIONS I ENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.0.0.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
f, SHIPPING LABELS. hlof
of Pollee
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO
DOCUMENT CONTROL NO. 31449 CLERK-TREASURER
OFFICE COPY