101778 FREDERICKS CONTRACTORS INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Carrriiie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101778
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
7/10/2018 361637 Additional Work-Sta.44
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
27424
QUANTITY L UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-501.00
1 Each Fix Upstairs Lighting-Sta.44 $1,165.00 $1,165.00
1 Each Paint Exterior Door Frame and Handrail -Stairwell -Sta.44 $783.00 $783.00
1 Each Replace Existing Wood Doors-Sta.44 $955.00 $955.00
Sub Total $2,903.00
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Send Invoice To: '' '_
Fire Department w�
2 Civic Square
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Carmel, IN 46032-
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1- ACCOUNT _ PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $2,903.00
St?PPING 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.SHIPML'.1 CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*PURCHASE 0I-.:,,E P NUMBER MUST APPEAR ON ALL SHIPPING LABEL
'THIS ORDER IS':"=:IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 .2':,,,,n-
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I THEREOF AND SUPPLEMENT THERETO.
ORDERED BY
Denise Snyder
TITLE Budget&Accreditation Manager ��
CONTROL NO. 1 01 778 CLERK-TREASURER