101583 CORE & MAIN INDIANA L
EXEMPT Page 1 of 1
TA
City
JL Jj Carmel
o CERTIFICA ENOI00310155 002 0 PURCHASE ORDER NUMBER
EFEDERAL EXCISE TAX EXEMPT 101583
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
4/17/2018 358710 Fiber locate flags
CORE&MAIN ICS
VENDOR P O BOX 28330. SHIP 31 1st Avenue N.W.
TO Carmel,IN 46032-
ST LOUIS, MO 63146- Timothy Renick 1 (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS . FREIGHT
25069
QUANTITY UNIT OF MEASURE DESCRIPTION
UNIT PRICE, EXTENSION
Department 1115 Fund: 101 General Fund
Account: 42-390.99
2000 Each City of Carmel.fiber optic flags $0.12 $240.00
Sub Total $240.00
,) / `',,,,N ,
Send Invoice To: x
ICS ��.._ `
Timothy Renick
31 1st Avenue N.W. '
Carmel, IN 46032- - ., ,
(317)571-2576
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT E PROJECT ACCOUNT 1 AMOUNT
PAYMENT $240.00
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 %�I ��--�'" \`/�\�C_�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick �\
TITLE Director
CONTROL NO. 101583 CLERK-TREASURER