32054 Jim Russell Plumbing L. O � 0 f� Carmel INDIANA RETAIL TAX EXEMPT PAGE
\\1/-�JJJ1111 1111 CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
\ FEDERAL EXCISE TAX EXEMPT
35-60000972
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
611312014
Jim Russell Plumbing, Heating S Air Conditionin Carmel Police Department
SHIP3 Civic Square
VENDO
P.O. Box 646 TO Cannel, IN 46032-
Zionsville, IN 48077- (317)5712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
OUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
4. Each`installation of HalseyTayler filter $195.75 $783.00
Oft -1 ""._
Caw
tt-. � j•
•M .. 00
Send Invoice To: �-'-' °"
Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. 43-601.00 PAYMENT
• 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 THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Clay
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL \1� '�'+-/' "
SHIPPING LABELS. it'V Chief of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE t4
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. i, "5. .. _ F rII . .•
DOCUMENT CONTROL NO. 32054 CLERK-TREASURER OFF
OFFICE COPY
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