32099Leach & RussellCity of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2564
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
32099
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
7/3112014
.2
Leach & Russell Mechanical
VENDOR
9151 Ford Circle
Fishers, IN 46038
SHIP
TO
Cannel Police Department
3 Civic Square
Carmel, IN 46032
(317) 571-2559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT.
.2
QUANTITY I UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43-501.094
1 Each exhaust fan motor replacement
Send Invoice To:
Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$452.00
Sub Total:
$452.00
$452.00
DEPARTMENT
Cannel Police Dept.
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
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
DOCUMENT CONTROL NO. 32099. cL OFFICE CORK-TREASURER
COPYR
OFFICE
PAYMENT $452.00
• 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 R.. PER SWORN AFFIDAVIT • • • BRED.
• I HEREBY CERT 1Y - THERE IS AN • e+ ATED BALANCE IN
THIS APPRO IAT . .UFFICIE • PAY FOR THE ABOVE ORDER_