101414 FREDERICKS CONTRACTORS cii
V INDIANA RETAIL TAX EXEMPT Page 1 of 1
}� o cIarinrie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
/Jl of / JFEDERAL EXCISE TAX EXEMPT 101414
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
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
2/19/2018 361637 Camera install @ 126th and Rangeline
FREDERICKS CONTRACTORS ICS
VENDOR PO BOX 229 SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
PENDLETON, IN 46064- Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
23591
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 43-500.00
1 Each Camera install $990:00 $990.00
Sub Total . $990.00
,,,`•
Send Invoice To: F iy
ICS \ 'Quote dated: 2/17/18
Timothy Renick
31 1st Avenue N.W. y
Carmel, IN 46032- 1%.,J
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $990.00
SHIPPING INSTRUCTIONS '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
'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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY U\
Timothy Renick
TITLE Director
CONTROL NO. 101414 CLERK-TREASURER