31686 Leach & Russell City ty ® f C sane J INDIANA RETAIL TAX EXEMPT PAGE
.l�/.1111 1111 Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 31686
i ONE CIVIC SQUARE \.� THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO. PACKING sups,
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
2114/2014
Leach &Russell Mechanical Contractors, Inc Carmel Communication Center
VENDOR SHIP
TO 311stAveNW
9151 Ford Circle Carmel, IN 46032
Fsherq IN 46n3R (317)571-2586
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-501.00
1 Each HVAC repairs $1,755.73 $1,755.73
Sub Total: $1,755.73
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Send Invoice To: Work order No.007060 U _ tlllfvl. jOyr
Carmel Communication Center
31 1st Ave NW
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT . PROJECT ACCOUNT AMOUNT
_r. a PAYMENT @ p¢ /q
115 • • munieatio•. • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT U$1ST9NE P9.
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
•SHIP REPAID.
THIS APPROP: •TION SUFFICIENT TO PAY FOR THE ABOVE ORDER_
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
e
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE [)Tractor
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO
DOCUMENT CONTROL NO. 31686 CLERK-TREASURER\/
OFFICE COPY