37760 Black Dog Home Improvement INDIANA RETAIL TAX EXEMPT PAGE 1
C ity C a�. ��` e l CERTIFICATE NO.003120155 002 0"' 'lj PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 37760
35-60000972
THIS NUMBER MUST APPEAR ON INVOICES.A/P
VOUCHER.DELIVERY MEMO,PACKING SLIPS,
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
11/5/2014 11/01/14 3298 Central Park North Campus building repairs
Black Dog Home Improvement LLC - Bryce Bale Parks Maintenance
165 Springvalley Drive 1427 E. 116th Street ATTN: Courtney
VENDOR Anderson, IN 46011 THOIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY 1 UNIT OF MEASURE I DESCRIPTION f UNIT PRICE I EXTENSION
1.000 each Wood trim and roofing repairs to the shed behind the $ 1,935.0000 $ 1,935.00
Administration Office. Please see quote for more details.
(Amount below is NTE $1,935.00)
1.000 each Trim, roofing and siding repairs to the horsebarn/storage $ 1,155.0000 $ 1,155.00
building behind the Administration Office. See quote for more
details. (Amount below is not to exceed $1,155.00)
GLAccount# 1125413-4350100
Send Invoice To:
$ 3,090.00
PLEASE INVOICE IN DUPLICATE
•
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT l AMOUNT
PAYMENT
• A/P 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Courtney Weintraub 11k ti)1`.1
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 37760 VENDOR