31812 Leach and Russell City o Carmel INDIANA PAGE
lnl JILT CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31812
35-60000972
i 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
411412014 HVAC Repairs
Leach & Russell Mechanical Contractors, Inc Cannel Communication Center
VENDOR ' SHIP 311stAveNW
TO
9151 Ford Circle Carmel, IN 46032
Fishers, IN 46038 (317)571-2586
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
I
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-501.00
1 Each HVAC repairs . $614.76 $614.76
II:• Sub Total: $614.76
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Send Invoice To:
• Il
Carmel Communication Center
31 1st Ave NW .
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
9 PARTM 1 ACCOUNT PROJECT PROJECT ACCOUNT - AMOUNT
' 15 Communications PAYMENT $614.76
. • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
_ 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 TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. /n/
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 4 2l
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELU. D
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31812 Z OFFICE COPY