37337 Roby's PlumbingCity lof Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PAGE 1
PURCHASE ORDER NUMBER
37337
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE I EQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
7/15/2014
06/28/14
2073
Contractor snake out drains at Maintenance office
Roby's Plumbing & Heating Co., Inc.
9249 Castlegate Dr
VENDOR Indianapolis, IN 46256
SHIP
TO
Parks Maintenance
1427 E. 116th Street ATTN: Courtney
Carmel, IN 46032
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UN1T OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
1.000
Send Invoice To:
each
Snake out drains at Maintenance Office to help alleviate $ 360.00
basement flooding
GLAccount# 1125413- 4350100
PLEASE INVOICE IN DUPLICATE
$ 360.00
$ 360.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
"25- 4-350100
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
PAYMENT
•
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
SUFFICIENT TO PAY FOR THE ABOVE ORDER.
AJP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO. NUMBER 15 MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
AFFIDAVIT ATTACHED.
ORDERED BY
TITLE
CLERK - TREASURER
DOCUMENT CONTROL NO. 37337 VENDOR COPY
Courtney Schlaegel
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