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101774 CENTRAL INDIANA HARDWARE INDIANA RETAIL TAX EXEMPT Page 1 of 1 City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 101774 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 I DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 7/10/2018 00352813 CENTRAL INDIANA HARDWARE Carmel Police Department VENDOR PO BOX 83030 SHIP 3 Civic Square TO Carmel, IN 46032- CHICAGO, IL 60691--3010 Blaine Mallaber PURCH ,SE ID BLANKET I CONTRACT PAYMENT TERMS FREIGHT 27407 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1110 Fund: 101 General Fund Account: 42-390.99 150 Each school gas cards $2.69 $403.50 Sub Total $403.50 • , �4. i ) r Send Invnice To: Carmel Police Department , 'quote#4101069 Accounts Payable 3 Civic Square Carmel, IN 46032- $ �� PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT 9 PROJECT ACCOUNT I AMOUNT PAYMENT $403.50 Sl11PPING 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 MI,ii I). AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN ::ENI-CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. 'PURCHI;S(:ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL 'THIS OFo: !?ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 AND 1C I S '.i,':Lt•JDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Jim Barlow TITLE Chief ^ �� COP:l.DL NO. 1 01 774 CLERK-TREASURER l