37129 Roby's INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO.093120155 002 0 PAGE 1
o t C a r m e PURCHASE ASE O13DER NUMBER
FEDERAL EXCISE TAX EXEMPT 37129
35-60000972
-- _ • - - I Ii IS NUMHI,R MUST APPi.`A}2 ON INVOICI S,AIP
VOUCI II=.H,I)D IVI_RY MI MO,PACKING SI II'S,
SI IIPI'I NCI ARE-I S ANI)ANY CORHL-SPONDI•NC!
FORM APPROVED BY Sl A I E BOARD OF ACCOUNTS FOR CITY OF CARMEL_• 199(
PUIOC•ASE ORDER DATE DATI-REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
6/3/2014 06/04/14 1783 Repairs to Inlow plumbing
Roby's Plumbing & Heating Co., Inc. Parks Maintenance
9249 Castlegate Dr 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46256 ToiP Carmel, IN 46032
LORI I12MA 1 ION Ili ANKE1 CONIf2ACr f!AYMINI rI RMS FR1-IGIi-!
QUANTITY UNI I OF MEASURE L- _- -. DESCRIPTION UNIT PRICE EXTENSION
I
1.000 each Repair leak on 2" Schedule 80 pipe and fitting. Replace 3 $ 760.00 $ 760.00
supply shut off valves for lavatories. Repair the Dripping T& S
lavatory faucet.
1.000 each Replace two 1-1/2" ball valves. Replace a 2-112" ball valve. $880.00 $880.00
This work shall be completed in the tall after the water has
been turned off.
GLAccount# 1125401-4350100
Send Invoice To
$ 1,640.00
PLEASE INVOICE IN DUPLICATE
UIi'AHT MrNI nCCOl1Nl ROJFCI PROJKCT ACCOUNT I` AMOUNT
I ( 15 -� 4'35° IOO
PAYMENT
• A/P 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
SHIPPING INSTRUCTIONS AFFIDAVIT Ar ACHEO.
. I HEREBY CERTIFY THAT-THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SI III'RI.I'AII). SUFFICIENT TO PAY FOR THE ABOVE ORDER_
C OCSIIIPMIINTS CANNON* ACCI PI El)
• PUHCI IASF O•I71-12 NUMHL R MUS API'!-Aft ON Al I SI UPPING LABELS. ORDERED BY Courtney Schlaege ^ ' �t, t }1 L/
1 �'� �C'\ `1
• !!!IS ORDER!SSW U IN COMM.TANG! WI I I I CI IAPI I R 99.AC IS 1946 I
ANC AC IS AML NOPIORY!I I THEO! ANI)SU!'PI I MI NI 1111 HI ID.
TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 37129