101617 FREDERICKS CONTRACTORS INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of IIarinriie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101617
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,ANP
CARMEL,INDIANA 46032 2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
)RM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
4/25/2018 361637 Station 42 Remodel
FREDERICKS CONTRACTORS Fire Department
VENDOR PO BOX.229 SHIP 2 Civic Square
TO Carmel,IN 46032-
PENDLETON,IN 46064-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT.
25399
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-501.00
1 Each Kitchen Remodel-Station 42 $51,087.00 $51,087.00
Sub Total $51,087.00
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Send Invoice To: x<. L':
Fire Department
N- 3
2 Civic Square
Carmel, IN 46032- �,
PLEASE INVOICE IN DUPLICATE
DEPARTMENT [ ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $51,087.00
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
'THIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
,.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.RD�
URCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL _..., ',. c `--i'�-s a
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �N:2,. "'"`''"'--'``::9`� `"'.
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY �C�
Denise Snyder James Crider
TITLE Budget&Accreditation Manager Administration ‘.\9
CONTROL NO. 101617 CLERK-TREASURER VC