101344 SOUTH SUBURBAN WELDING & FAB INC v INDIANA RETAIL TAX EXEMPT Page 1 of 1
fCarmelCity 0 CERTIFICATE NO.003120155 002 0 PURCH:1STE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 01344ONE CIVIC SQUARE 35-6000972THISNUMBERMAPPEAR ON INVOICES,AIP
CARMEL,INDIANA 46032-2584 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
1/31/2018 372215 Humbler Door
SOUTH SUBURBAN WELDING&FAB INC Fire Department
VENDOR 14022 S.WESTERN AVE.. SHIP 2 Civic.Square
TO Carmel, IN 46032-
POSEN,IL 60469-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22997
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 102 Ambulance Capital Fund
Account: 44-670.99
1 Each Shipping $350.00 $350.00
1 Each The Humbler Forcible Entry Door $6,800.00 $6,800.00
Sub Total $7,150.00
as
Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032- -
PLEASE INVOICE INE DUPLICATE
DEPARTMENT
PAYMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
$7,150.00
SHIPPING INSTRUCTIONS `AQP 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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL ��
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �~ '` ' „ G[ \
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY - V
Denise Snyder James Crider
TITLE Budget&Accreditation Manager Administration 6
CONTROL NO. 101344 CLERK-TREASURER