102097 MID-AMERICA ELEVATOR INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cat
aof cirriie]I CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102097
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
RM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1111312018 201080
MID-AMERICA ELEVATOR INC Carmel Police Department
VENDOR 1116 E.MARKET STREET SHIP 3 Civic Square
TO Carmel, IN 46032-
INDPLS, IN 46202--3829 Blaine Mallaber
-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
30915
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-501.00
1 Each elevator repair $850.00 $850.00
Sub Total $850.00
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Send Invoice To: 4. r. „„.r...., k, ,
Carmel Police Department £ `
Accounts Payable
3 Civic Square aN
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $850.00
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
--'>IP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
I.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 `"' - `
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ��
Jim Barlow \\
TITLE Chief
CONTROL NO. 102097 CLERK-TREASURER 'N4