24627 Envenrity EngineeringCi
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
tr
INDIANA RETAIL TAX EXEMPT
'CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE \
PURCHASE ORDER NUMBER
24627
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
913/201b
.
VENDOR
Enverity Engineering
9229 Delegates Road, Ste. 150
Indianapolis, IN 46240
SHIP
TO
Cannel Fire Department
2 Cannel Civic Square
Carmel, IN 46032
(317) 571-2622
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY I UN•oF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 102.601.00
'1 Each Generator Project
I 'Send Invoice To:
Cannel Fire Department
2 Carmel Civic Square
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$12,000.00
Sub Total:
$12,000.00
$12,000.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
Cannel Fire Department
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.
24627
DOCUMENT CONTROL NO.
ORDERED BY /r�^
• ✓•
TITLE
PAYMENT $12,000.00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS TSIE PROPER SWORN AFFIDAVIT ATTACHED.
▪ HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRJpTIfjN SUFFICIENT TO PAY FOR'THE ABOVE ORDER.
CLERK - TREASURER
OFFICE COPY