102083 FREDERICKS, INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102083
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
11/8/2018 372629 Station 41
FREDERICKS, INC Fire Department
VENDOR 5448 W.ST. RD#132 SHIP 2 Civic Square
TO Carmel, IN 46032-
PENDLETON, IN 46064-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
30826
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-501.00
1 Each Provide Box and Power for Sign over Service Door Eastside $833.00 $833.00
of Building
1 Each Remove and Replace Ceiling Grid and Tiles in Kitchen $1,680.00 $1,680.00
similar to existing
Sub Total $2,513.00
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Send Invoice To: ,.
Fire Department �\
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2 Civic Square . ? ', t . .F
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $2,513.00
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 0.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL (7--
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ''' '" .I"......-. .,-....1.,:-..�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY �`"�
Denise Snyder (,
TITLE Budget&Accreditation Manager �\ v�
CONTROL NO. 1 02083 CLERK-TREASURER �i