51523 INDIANA RESTORATION & CLEANING INDIANA RETAIL TAX EXEMPT PAGE 1
Ci- ,. CERTIFICATE NO.003120155 002 0
y0. Carmel PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 51523
35-60000972
ONE CIVIC SQUARE
CARMEL,lUCLAHA A3032-2584 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
6/8/2018 06/04/18 16572 356810 West Park Restroom Restoration from Fire
Indiana Restoration&Cleaning Parks Maintenance
1710 South 10th Street 1427 E. 116th Street ATTN: Courtney
VENDOR Noblesville, IN 46060 SHIP Carmel, IN 46032
• TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Fire damage restoration for restroom building per attached $8,820.3500 $8,820.35
quote
GLAccount#1125419-4350100
•
Send Invoice To:
$8,820.35
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT 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 Michael Allen
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 \'1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE (`vL
cb
CLERK-TREASURER �Y
DOCUMENT CONTROL NO. 51523 VENDOR COPY VVVV"`` ���`