32393 Federal Field ServicesCi
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
32393
THIS NUMBER MUST APPEAR ON INVOICES, AP
VOUCHER. DELIVERY MEMO. PACKING SLIPS.
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
7/2212014
FREIGHT
Tornado Siren repair, Site 410
Federal Field Services
VENDOR
230 E. Main Street
SHIP
TO
Cannel Communication Center
31 1st Ave NW
Carmel, IN 46032
..- ..... -.-
..- • - • -- �- �- -- -
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
OUANTITY I UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43-500.00
1 Each Repair to Tornado Siren, Site 410 storm damage
Send Invoice To:
Carmel Communication Center
31 1st Ave NW
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$5,861.75 $5,861.75
Sub Total: $5,861.75
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
1115 Communications
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.
ORDERED BY
TITLE
CLERK- TREASURER
DOCUMENT CONTROL NO. 32393 OFFICE COPY
PAYMENT $5,861.75
• 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.
• I HEREBY CERTI THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPR 4ON $DEFICIENT TO PAY FOA THE ABOVE ORDER.
Director